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SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2021 - 022334, UID # 35559
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Keith Valento

MPCA License #:

2428

Business Name:

Smilie's Sewer Service

Phone:

Mobile:

(651

) 433

- 3005

(651

) 261

- 1562

Fax:

(433

) 433

- 3005

Email:

smilies.angie@gmail.com

Address:

P.O.Box 100

Scandia	MN	55073

Code to use for this report:

v8143z23787

Date of Maintenance:

08/16/2021

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
			3503221440002	9150 180TH ST N, CITY OF FOREST LAKE	9150	180TH	ST	N	FOREST LAKE	CITY OF FOREST LAKE	55025	PERRON JOHN C & JENNIFER A				1973

Maintenance Performed:

Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage:

Attach Copy of Report

Attach maintenance Report:

File 1: 9150_180th_St_N.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

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):