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SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000056, UID # 1257
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Jim Vaughan

MPCA License #:

3344

Business Name:

Tom's Sewer Service

Phone:

Mobile:

(651

) 433

- 8700

(651

) 315

- 3304

Email:

jim@tomssewerservice.com

Address:

PO Box 238

Scandia	MN	55073

Code to use for this report:

q5261y0673

Date of Maintenance:

03/24/2016

Reason for Maintenance:

Emergency

System Location & Maintenance Performed

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
			0803121410003	16325 FOREST BLVD N, CITY OF HUGO	16325	FOREST	BLVD	N	HUGO	CITY OF HUGO	55038	MARKOVICH GAYLE M

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

Tank Details

Tank#1:	No
Verification Method Used:	Visual

Evidence of Leaks or Damaged Covers

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

Septage Removed

Tank #1:

1000 Gallons

Waste Disposal

Waste Disposal Method:	Treatment Plant
Location:	St. Paul

Other Information

Notes/Comments:

Line clean main sewer line & camera inspect. Installed 18" manhole riser and cover.

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
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