SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2017 - 004683, UID # 7911
Status: Report Submitted
Maintainer Information
| Maintainer's Contact Information: |
|
| Code to use for this report: |
r2871u4805 |
| Date of Maintenance: |
11/21/2016 |
| Reason for Maintenance: |
Emergency |
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 |
|---|
| | | 0302921140005 | 9784 57TH ST N, CITY OF LAKE ELMO | 9784 | 57TH | ST | N | LAKE ELMO | CITY OF LAKE ELMO | 55042 | JURAN LEONARD D & BONNIE M | 4 | 1 | ROLLING HILLS ESTATES | 1995 | |
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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 backing up |
| Attach maintenance Report: |
|
Maintenance Covers
| Were all covers securely replaced? |
Yes |
Evidence of Leaks or Damaged Covers
Septic/Holding Tank #1
- Leaking Out: |
No |
| - Leaking In: |
No |
| - Cover Damage: |
No |
Pump Tank
- Leaking Out: |
No |
| - Leaking In: |
No |
| - Cover Damage: |
No |
Septage Removed
| Tank #1: |
1500 Gallons |
| Pump Tank: |
500 Gallons |
Approvals
| Approval | Signature | Options |
|---|
| Applicant | | |
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978457th.pdf