SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 004023, UID # 7112
Status: Report Submitted

Maintainer's Contact Information:

Name:

Keith Valento

MPCA License #:

L2428

Business Name:

Smilie's Sewer Service

Phone:

(651

) 433

- 3934

Email:

ab.saniationservices@gmail.com

Address:

Code to use for this report:

a3848j5559

Date of Maintenance:

12/22/2016

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
			1203221110008	10077 JULEP TRL N, CITY OF FOREST LAKE	10077	JULEP	TRL	N	SCANDIA	CITY OF FOREST LAKE	55073	CUNNINGHAM TYLER	4	3	VALLEY HILLS	1994

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
Pump Tank - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No

Approval	Signature	Options
Applicant		Status must be

Internal Notes

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