SSTS Permitting Sandbox site

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000502, UID # 2061
Status: Report Submitted

Maintainer's Contact Information:

Name:

Larry Schlomka

MPCA License #:

L2989

Business Name:

Schlomka Services LLC

Phone:

(651

) 459

- 3718

Email:

aj_schlomka@hotmail.com

Address:

Code to use for this report:

o8871x1739

Date of Maintenance:

11/09/2015

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
			0302921340011	5257 JEROME AVENUE CT N, CITY OF LAKE ELMO	5257	JEROME AVENUE	CT	N	LAKE ELMO	CITY OF LAKE ELMO	55042	MONSON FAMILY LIVING TRS	6	5	FOX FIRE ESTATES	1985

Maintenance Performed:

Tank(s) Pumped

Did you use the maintenance hole to remove septage:

Describe the method used to remove the septage:	see report
Attach maintenance Report:	File 1: 0302921340011-maintenance_report-20151109.pdf

Were all covers securely replaced?

Yes

Tank#1:

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

Tank #1:

1250 Gallons

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):