SSTS Permitting Sandbox site

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000763, UID # 2367
Status: Report Submitted

Maintainer's Contact Information:

Name:

Jon Olson

MPCA License #:

L216

Business Name:

Olson's Sewer Service

Phone:

(651

) 464

- 2082

Email:

lee@olsonsinthepink.com

Address:

Code to use for this report:

d4950l1333

Date of Maintenance:

05/26/2016

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
			3403221220002	7511 190TH ST N, CITY OF FOREST LAKE	7511	190TH	ST	N	FOREST LAKE	CITY OF FOREST LAKE	55025	REINKE RICHARD J & MARY E				1967

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: 3403221220002-maintenance_report-20160526.pdf

Were all covers securely replaced?

Yes

Tank#1:

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

Tank #1:

1200 Gallons

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):