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SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2021 - 022268, UID # 35377
Status: Report Submitted
 

Maintainer Information

Maintainer's Contact Information:
Name:
Leah A Synicyn
MPCA License #:
L3287
Business Name:
Hassle Free Septic
Phone:
(763) 222 - 4397
Fax:
(763) 222 - 4397
Email:
leah.hasslefree@gmail.com
Address:
PO Box 702
North Branch MN 55056
Code to use for this report: w5178l21774
Date of Maintenance: 08/02/2021
Reason for Maintenance: Routine

System Location & Maintenance Performed

Property Maintenance Performed :
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
110322114000322550 JASON AVE N, CITY OF FOREST LAKE22550JASONAVENFOREST LAKECITY OF FOREST LAKE55025NYLUND JOHN H1984
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

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: North Branch

Approvals

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Applicant 
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