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SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2021 - 021040, UID # 32976
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Lana M Meyer

MPCA License #:

915

Business Name:

Meyer Sewer Service

Phone:

Mobile:

(651

) 459

- 0162

(651

) 248

- 7275

Fax:

(651

) 459

- 2828

Email:

meyersewer@hotmail.com

Address:

5325 Manning Ave S

Afton	MN	55001

Code to use for this report:

k9568y21962

Date of Maintenance:

09/22/2020

Reason for Maintenance:

Routine

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
			0202820120009	16645 1ST ST S, CITY OF LAKELAND SHORES	16645	1ST	ST	S	LAKELAND	CITY OF LAKELAND SHORES	55043	HICKEY THOMAS J & BREDA BYRNE	2	2	CENTURY PARK	1985

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?

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:

1500 Gallons

Waste Disposal

Waste Disposal Method:	Land Apply
Location:	B1

Approvals

Approval	Signature
Applicant

Internal Notes

Text:
File(s):