SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 003751, UID # 6701
Status: Report Submitted

Maintainer's Contact Information:

Name:

KEITH VALENTO

MPCA License #:

2428

Business Name:

SMILIE'S

Phone:

(651

) 433

- 2000

Email:

ab.sanitationservices@gmail.com

Address:

Code to use for this report:

i4928e4387

Date of Maintenance:

11/08/2016

Reason for Maintenance:

Routine

Property Maintenance Performed :

Compliance Status		Property Record		Property Address								Property Owner	Property Attributes
Compliance Expiration	Compliance Status	Parent GeoCode	PIN	Site Address	Building Number	Street Name	Type	Dir	City	Municipality	zip	Owner	Lot	Block	Plat	Year Built	Property Hold
			1003221110006	22900 IMPERIAL AVE N, CITY OF FOREST LAKE	22900	IMPERIAL	AVE	N	FOREST LAKE	CITY OF FOREST LAKE	55025	HITT BRIAN J	3	1	CAMERON HIGHLANDS	1998

Maintenance Performed:

Tank(s) Pumped

Did you use the maintenance hole to remove septage:

Yes

Describe the method used to remove the septage:	SEE REPORT
Attach Maintenance Report:	File 1: 1003221110006-MAINTENANCE_REPORT-20161108.pdf

Were all covers securely replaced?

Yes

Tank#1:

Septic/Holding Tank #1 - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):