SSTS Permitting Sandbox site

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2021 - 022302, UID # 35459
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

David Duscher - ESI

MPCA License #:

L2994

Business Name:

ESI Septic Services Inc.

Phone:

(612

) 799

- 7058

Email:

noemail@noemail.com

Address:

P.O. Box 249

Hampton	MN	55031

Code to use for this report:

e7784u23912

Date of Maintenance:

06/19/2021

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
			1702720330001	8969 NEAL AVE S, TOWN OF DENMARK	8969	NEAL	AVE	S	HASTINGS	TOWN OF DENMARK	55033	BAXTER ROBERT W & LINDA J				1986

Maintenance Performed:

Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage:

Yes

Attach Copy of Report

Attach Maintenance Report:

File 1: 1702720330001-SSTS_Mait._Permit-_2021.pdf

Maintenance Covers

Were all covers securely replaced?

Yes

Tank Details

Tank#1:

Evidence of Leaks or Damaged Covers

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

Septage Removed

Tank #1:

1000 Gallons

Waste Disposal

Waste Disposal Method:

Land Apply

Other Information

Notes/Comments:

See attached report

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):