SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2017 - 005491, UID # 9562
Status: Report Submitted

Maintainer's Contact Information:

Name:

Schlomka Service

MPCA License #:

L2989

Business Name:

Schlomka Service

Phone:

(651

) 459

- 3718

Email:

aj_schlomka@hotmail.com

Address:

Code to use for this report:

y6668w5653

Date of Maintenance:

05/10/2017

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
			2002920320015	2291 NICOLLE AVE N, TOWN OF WEST LAKELAND	2291	NICOLLE	AVE	N	STILLWATER	TOWN OF WEST LAKELAND	55082	SHERRY B NYGAARD TRS	15	1	ARTISAN	2012

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

Tank #1:	1250 Gallons
Tank #2:	1250 Gallons

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
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