SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2017 - 004961, UID # 8412
Status: Report Submitted
 

Maintainer Information

Maintainer's Contact Information:
Name:
Todd Robole
MPCA License #:
L2103
Business Name:
Ron's Sewer Service
Email:
ronssewerservice@gmail.com
Address:
W6621 610th Ave
New Richmond WI 54011
Code to use for this report: d7042m5123
Date of Maintenance: 10/05/2016
Reason for Maintenance: Routine

System Location & Maintenance Performed

Property Maintenance Performed :
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
350292033000416145 UPPER 2ND ST N, CITY OF LAKELAND16145UPPER 2NDSTNLAKELANDCITY OF LAKELAND55043GIESREGEN GLENN A & DIONNA M164LAKELAND HILLS1986
Maintenance Performed:
Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage: Yes

Attach Copy of Report

Attach Maintenance Report:

Maintenance Covers

Were all covers securely replaced? Yes

Tank Details

Tank#1: No

Evidence of Leaks or Damaged Covers

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

Septage Removed

Tank #1: 1250 Gallons

Approvals

ApprovalSignature
Applicant 

Internal Notes

Text:
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