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{ ` • Authori2ed Distributor For <br /> Schirmers Wastewater Treatment Systems, Inc. MUITI�Fl� <br /> 951 ICatydid Lane NE • St. Michael, MN 55376 • (612) 497-3566 AERAT/ON EQUlPMENT <br /> SALES & SERVlCE <br /> � GENERAL INFORMATION <br /> OWNER —L� F 5 M��"4 't7sJ'9�►L�?' RESIDENT <br /> ADDRESS –��� S�`i��al.�1� �1 L� '2sc� ETTLt9 t�.+�t� COUNTY��`� � <br /> DAT E OF INSPECtION - � o�'�— 1� — C�C7 PHO�E ����1 ��',�� <br /> UNIT INFORMATION ' <br /> T/1NKNO. TYPEOFTANK Ln� NO.OFMOTORS SER.NUMBER <br /> CNECK LIST 2 O O 2 <br /> c�+, o«,e � so� ►�a �cc�: <br /> T�k e M l x t a d L 1qv or s a mp le �,�L��}� O OO O O 3 , <br /> Cheek Alarm System O �0.. '. <br /> Turn Of f Po++er <br /> R1nae Surqc Bo�+l 4 O A I O� .. <br /> I n� /Ii O � O <br /> �ct Fffluent Q��ality � �;t� Q5 10 / 10 5 <br /> Vaa�vm Welr ard F1•lters O �\ OO <br /> Nash filters <br /> Inspr.c!/Replace Top Gaske! � <br /> intpr.ct/Raplece Bottan " � O <br /> Inspeet a1e.�n Sensors � �✓ O 7 O O 10 O <br /> Inspect 11erator • �/ O O O O <br /> ?urn Power On V�r <br /> CURRfCT10NS RGCOMMENUCD: REPLACED FILTERS q <br /> . REPLACE EXPANDERS# <br /> ' � COMMENTS <br /> � TESTING INFORMATION <br /> IN FIELD TESTS TESTS IN LABORATORY <br /> PH TEMP_ B.O.D. <br /> O.O. D.O. <br /> C.O.D. __ FECAL COUFORMS <br /> SETTI.CABLE SOL�DS 96 �=_ SUSPENDED SOLIDS <br /> ���� ' LICENSE NUMBER ' <br /> " SIQNA7URE OF SERVICE OR REPAIRMAN <br /> �^ WHITE/Heellh Dept. YELLOWiBtlltng Flle PINKiMaintenance � <br />