SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2017 - 005736, UID # 9997
Status: Report Submitted

Maintainer's Contact Information:

Name:

Hassle Free Septic

MPCA License #:

L3287

Business Name:

Hassle Free Septic

Phone:

(763

) 222

- 4397

Email:

hasslefreeseptic@noemail.com

Address:

Code to use for this report:

u3433h8022

Date of Maintenance:

07/31/2017

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
			3203221140002	18655 FOREST BLVD N, CITY OF FOREST LAKE	18655	FOREST	BLVD	N	FOREST LAKE	CITY OF FOREST LAKE	55025	LARSEN H PETER TRS & MARY LYNN LARSEN TRS				1988

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

Tank #1:

1500 Gallons

Approval	Signature	Options
Applicant		Status must be

Internal Notes

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