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SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000586, UID # 2165
Status: Report Submitted

Maintainer's Contact Information:

Name:

A&B

MPCA License #:

L3885

Business Name:

A*B Sanitiation

Phone:

(651

) 433

- 2000

Email:

septic@co.washington.mn.us

Address:

Code to use for this report:

x2303n1807

Date of Maintenance:

11/13/2015

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
			1503221140005	21550 IMPERIAL AVE N, CITY OF FOREST LAKE	21550	IMPERIAL	AVE	N	FOREST LAKE	CITY OF FOREST LAKE	55025	GEERDES RONALD J & ELLEN SUE				1960

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: 1503221140005-maintenance_report-20151113.pdf

Were all covers securely replaced?

Tank#1:

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

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):