SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 003784, UID # 6737
Status: Report Submitted

Maintainer's Contact Information:

Name:

Lana Meyer

MPCA License #:

L915

Business Name:

Meyer Sewer Service

Email:

meyersewer@hotmail.com

Address:

Code to use for this report:

m5387l1612

Date of Maintenance:

07/14/2016

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
			2802921140005	1545 IVY AVE N, CITY OF LAKE ELMO	1545	IVY	AVE	N	LAKE ELMO	CITY OF LAKE ELMO	55042	MROZINSKI JEFFERY J & KATHLEEN M	2	1	CARDINAL RIDGE	2001

Maintenance Performed:

Tank(s) Pumped

Did you use the maintenance hole to remove septage:

Yes

Attach Maintenance Report:

Were all covers securely replaced?

Yes

Tank#1:

Septic/Holding Tank #1 - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No
Septic/Holding Tank #2 - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No

Tank #1:	1500 Gallons
Tank #2:	1000 Gallons

Approval	Signature	Options
Applicant		Status must be

Internal Notes

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