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SCHIRMERS WASTEWATER TREATMENT SYSTEMS,INC. <br /> Steven B. Schirmers • 951 Katydid Lane NE • St. Michael, MN 55376 <br /> www.mnmultiflo.com - www.multiflo.com <br /> Cert.No.627 • (763) 497-3566 • FAX (763) 497-5011 <br /> State License#395 <br /> GENERAL INFORMATION <br /> OWNER ,(*I t...'4%`I? Z'POO1F-S RESIDENT <br /> ADDRESS /'le79O (-0 X 5 '4- '`-;---'-' t Q-17O y.I<O COUNTY 14 f•--11/4) <br /> DATE OF INSPECTION (p —I ,6--o PHONE <br /> UNIT INFORMATION <br /> TANK NUMBER I TYPE OF TANK i000 NO.OF MOTORS - 2. SERIAL NO.IJ, Y i 5I <br /> CHECK LIST <br /> ITEM DONE PER.SPECS. NEEDS ATTN: <br /> TAKE MIXED LIQUOR SAMPLE \" 1`'?-t(/')-` ! 1 = <br /> .`yt•;,- ® <br /> OCHECK ALARM SYSTEM ' U O !t (7) O <br /> iTURN OFF POWER v$ <br /> RINSE SURGE BOWL 1 O® ® l <br /> INSPECT EFFLUENT QUALITY V _ to f, 17- 1 ® A 13 <br /> ® O `;, <br /> VACUUM WEIR AND FILTERS <br /> WASH FILTERS ' 10 O� 1O <br /> INSPECT/REPLACE TOP GASKET �V/ © C L . I1'© <br /> INSPECT/REPLACE BOTTOM V`` s 4' 'I <br /> INSPECT ALARM SENSORS / OO ® O 10 <br /> INSPECT AERATOR �I,✓ 1 2 <br /> TURN ON POWER O ® ® . <br /> CORRECTIONS RECOMMENDED: REPLACED FILTERS <br /> REPLACED EXPANDERS <br /> COMMENTS <br /> MONITORED DRAINFIELD FOR PERFORMANCE <br /> �-im—P, &NA( . <br /> TESTING INFORMATION <br /> IN FIELD TESTS TESTS IN LABORATORY <br /> PH TEMP B.O.D. - , <br /> D.O. D.O. i <br /> C.O.D. FECAL COLIFORMS IhO cc1 /IOaAN1 <br /> SETTABLE SOLIDS % ,S SUSPENDED SOLIDS / <br /> I <br /> ; rv� LICENSE NUMBER -el-% <br /> SIGNATURE OF SERVICE OR REPAIRMAN <br /> AUTHORIZED DISTRIBUTOR FOR - MULTI-FLO -AERATION EQUIPMENT <br /> SALES AND SERVICE <br />