SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2017 - 005052, UID # 8542
Status: Report Submitted
 

Maintainer Information

Maintainer's Contact Information:
Name:
Schlomka Services
MPCA License #:
L2989
Business Name:
Schlomka Services
Email:
aj_schlomkaservices@hotmail.com
Address:
8890 202nd St N
Forest Lake MN 55025
Code to use for this report: d2038x5619
Date of Maintenance: 12/09/2016
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
060262031000712484 POINT DOUGLAS DR S, TOWN OF DENMARK12484POINT DOUGLASDRSHASTINGSTOWN OF DENMARK55033HOLIDAY STATIONSTORES LLC1969
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
Septic/Holding Tank #2
- Leaking Out:
No
- Leaking In: No
- Cover Damage: No

Septage Removed

Tank #1: 1000 Gallons
Tank #2: 1000 Gallons

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