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1285 French Creek Drive - 10-117-23-32-0007
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Schirmers Wastewater Treatment Forms
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Last modified
8/22/2023 3:25:32 PM
Creation date
12/17/2019 9:23:44 AM
Metadata
Fields
Template:
x Address Old
House Number
1285
Street Name
French Creek
Street Type
Drive
Address
1285 French Creek Drive
Document Type
Septic
PIN
1011723320007
Supplemental fields
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Updated
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, ,,. Authorized Distributor For <br /> Schirmers Wastewater Treatment <br /> . Systems, Inc. ; L <br /> TI4FJ[IJ <br /> 951 KatydidCaeNE . 1.-St. MN-65376 •.(' S49: �6. • :AERAtoN EQUIPMENT <br /> FAX (763) 497_ :$ALES & SERVICE <br /> .GENERAL INFORMATION <br /> • <br /> OWNER 1�°.1 I + .4-u2 RESIDENT <br /> ADDRESS 1"1�tS` r"(c.(NG\i` Cr�� tS,f.. <br /> E.)r_n n o COUNTY Z�1 <br /> PHONE ' <br /> � — a(� 'meq- " .''-.. ...-q'---::-:---3-11‘ ; <br /> DATE OF INSPECTION <br /> UNIT INFORMATION • <br /> aSER.NUMBER��� :•7',, ' <br /> TANKNO. TYPEOFTANK NO.OFMOTORS <br /> • <br /> CHECK LIST • 0 <br /> Item Per. Specs. Need Attnt 3 OO . O 0 3 <br /> Take nixed Liquor sample II[1)%4N () ®O <br /> t;7 k Alarm System co <br /> Turn orr Power t I O <br /> Rinse Surge Bowl •/ O A O B O <br /> Inspect Effluent Quality krI � "---- © 10 1Q <br /> Vacuum heir end Filters • C <br /> Wash Filters . <br /> Inspect/Replace Top Gasket . / O <br /> ® <br /> Inspect/Replace Bottom 14 O© ® O O <br /> Inspect alarm Sensors <br /> Inspect Aerator . <br /> OO <br /> • <br /> Turn Power On <br /> CORRECTIONS RECOMMENDED: . REPLACED FILTERS 1; <br /> REPLACE EXPANDERS I: <br /> COMMENTS <br /> • <br /> ' • TESTING INFORMATION <br /> IN FIELD TESTS TESTS IN LABORATORY . . <br /> PH TEMP._ B.O.D. <br /> D.O. D.O. <br /> . FECAL COLIFORMS <br /> C.O.D. _ SUSPENDED SOLIDS <br /> SETTLEABLE SOLIDS 96 .c <br /> ,, ' i_._ LICENSE NUMBERy�1� <br /> SIGNATURE OF SERVICE OR REPAIRMAN <br /> • <br /> • <br /> ' WHiTE/Health Dept. <br /> YELLOW/BIIIIng Fite ` PINK/Maintenance <br />
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