SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 003859, UID # 6833
Status: Report Submitted
Maintainer Information
| Maintainer's Contact Information: |
|
| Code to use for this report: |
r3690e4667 |
| Date of Maintenance: |
10/21/2016 |
| Reason for Maintenance: |
Routine |
System Location & Maintenance Performed
| Property Maintenance Performed : |
Find:
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| 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 |
|---|
| | | 1102820420146 | 16560 16TH ST S, CITY OF LAKE ST CROIX BEACH | 16560 | 16TH | ST | S | LAKELAND | CITY OF LAKE ST CROIX BEACH | 55043 | NELSON ANN DANA | | | | 1940 | |
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| Maintenance Performed: |
Tank(s) Pumped
|
Access to Tanks
| Did you use the maintenance hole to remove septage: |
No |
Attach Copy of Report
| Describe the method used to remove the septage: |
System too old for manholes |
| Attach maintenance Report: |
|
Maintenance Covers
| Were all covers securely replaced? |
Yes |
Tank Details
| Tank#1: |
Yes |
| Tank #2: |
Yes |
| Tank #3: |
Yes |
Evidence of Leaks or Damaged Covers
Septic/Holding Tank #1
- Leaking Out: |
Yes |
| - Leaking In: |
Yes |
| - Cover Damage: |
No |
Septic/Holding Tank #2
- Leaking Out: |
Yes |
| - Leaking In: |
Yes |
| - Cover Damage: |
No |
Septic/Holding Tank #3
-Leaking Out: |
Yes |
| -Leaking In: |
Yes |
| -Cover Damage: |
No |
Septage Removed
| Tank #1: |
300 Gallons |
| Tank #2: |
200 Gallons |
| Tank #3: |
1000 Gallons |
Approvals
| Approval | Signature | Options |
|---|
| Applicant | | |
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