SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2017 - 005070, UID # 8484
Status: Report Submitted
Maintainer Information
| Maintainer's Contact Information: |
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| Code to use for this report: |
i5924m6327 |
| Date of Maintenance: |
05/04/2017 |
| 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 |
|---|
| | | 0102721210004 | 6219 LAMAR AVE S, CITY OF COTTAGE GROVE | 6219 | LAMAR | AVE | S | COTTAGE GROVE | CITY OF COTTAGE GROVE | 55016 | RATZLAFF FRANCES G | | | | 1974 | No |
1
|
| Maintenance Performed: |
Tank(s) Pumped
|
Access to Tanks
| Did you use the maintenance hole to remove septage: |
Yes |
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 |
Septage Removed
| Tank #1: |
1250 Gallons |
| Tank #2: |
1500 Gallons |
Waste Disposal
| Waste Disposal Method: |
Treatment Plant |
Approvals
| Approval | Signature | Options |
|---|
| Applicant | | |
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