SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2021 - 022631, UID # 36006
Status: Report Submitted
Maintainer Information
Maintainer's Contact Information: |
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Code to use for this report: |
a0161s23224 |
Date of Maintenance: |
07/27/2021 |
Reason for Maintenance: |
Routine |
System Location & Maintenance Performed
Property Maintenance Performed : |
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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 |
| | | 2902720440001 | 10780 NYBERG AVE S, TOWN OF DENMARK | 10780 | NYBERG | AVE | S | HASTINGS | TOWN OF DENMARK | 55033 | BOTKA CARL & SHAINA | 3 | 1 | FEHLEN HEIGHTS | 1989 | |
1
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Maintenance Performed: |
Tank(s) Pumped
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Access to Tanks
Did you use the maintenance hole to remove septage: |
Yes |
Maintenance Covers
Were all covers securely replaced? |
Yes |
Evidence of Leaks or Damaged Covers
Septic/Holding Tank #1 - Leaking Out: |
No |
- Leaking In: |
No |
- Cover Damage: |
No |
Approvals
Approval | Signature | Options |
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Applicant | | |