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SSTS Maintenance Report SSTS Maintenance Report UID # 36292
Status: In Progress

Maintainer Information

Maintainer's Contact Information:

Name:

Larry Schlomka

MPCA License #:

2989

Business Name:

Schlomka Services

Phone:

(651

) 459

- 3718

Email:

office@schlomkaservices.com

Address:

1303 S Frontage Rd, Suite 135

Hastings	MN	55033

Code to use for this report:

q5153v24116

Date of Maintenance:

09/07/2021

Reason for Maintenance:

Routine

If 'Other' then enter reasons here:

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
			3602721340008	11821 LOCKRIDGE AVE S, CITY OF COTTAGE GROVE	11821	LOCKRIDGE	AVE	S	HASTINGS	CITY OF COTTAGE GROVE	55033	SMETANA JOHN & MAUREEN T WALTON	15	1	COUNTRYWOOD	1977

Maintenance Performed:

Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage:

Attach Copy of Report

Describe the method used to remove the septage:
Attach maintenance Report:
Attach Maintenance Report:

Maintenance Covers

Were all covers securely replaced?
:

Tank Details

Tank#1:
Verification Method Used:
Tank #2:
Verification Method Used:
Tank #3:
Verification Method Used:
Tank#4:
Verification Method Used:

Evidence of Leaks or Damaged Covers

Septic/Holding Tank #1 - Leaking Out:
- Leaking In:
- Cover Damage:
Septic/Holding Tank #2 - Leaking Out:
- Leaking In:
- Cover Damage:
Septic/Holding Tank #3 -Leaking Out:
-Leaking In:
-Cover Damage:
Septic/Holding Tank #4 -Leaking out:
-Leaking In:
-Cover Damage:
Pretreatment Tank - Leaking Out:
- Leaking In:
- Cover Damage:
Pump Tank - Leaking Out:
- Leaking In:
- Cover Damage:

Septage Removed

Tank #1:	Gallons
Tank #2:	Gallons
Tank #3:	Gallons
Tank #4:	Gallons
Pretreatment Tank:	Gallons
Pump Tank:	Gallons

Waste Disposal

Waste Disposal Method:
Location:

Other Information

Notes/Comments:

Internal Notes

Text:
File(s):