SSTS Permitting Sandbox site

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2021 - 021230, UID # 33296
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Marc Meyer

MPCA License #:

L4007

Business Name:

Rons Sewer Service

Phone:

Mobile:

(715

) 749

- 0153

(651

) 248

- 7277

Email:

ronssewerservice@gmail.com

Address:

1053 120th St.

Roberts	WI	54023

Code to use for this report:

c7161m21365

Date of Maintenance:

02/11/2021

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
			1102820420071	1622 QUINLAN AVE S, CITY OF LAKE ST CROIX BEACH	1622	QUINLAN	AVE	S	LAKELAND	CITY OF LAKE ST CROIX BEACH	55043	PETERS EDWARD W				1958

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
Tank #2:	No

Evidence of Leaks or Damaged Covers

Septic/Holding Tank #1 - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No
Septic/Holding Tank #2 - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No

Septage Removed

Tank #1:	1000 Gallons
Tank #2:	1000 Gallons

Other Information

Notes/Comments:

FROZEN DRAINFIELD

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):