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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
ProcessedPID
Updated
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- r- <br /> Authorized Distributor For <br /> Schirmers Wastewater Treatment Systems, Inc. ; .;ui ri.El D <br /> 951 Katydid Lane NE • St. Michael, MN 55376 • (763)497-3566 'AERATION EQUIPMENT <br /> FAX (763) 497-5011 SALES & SERVICE <br /> GENERAL INFORMATION <br /> OWNER .A.cy w e,�c�c.u� RESIDENT <br /> ADDRESS \-4,Gb5 C.(N r ( rf V c �C®c^,C9 COUNTY \AC-nr` <br /> DATE OF INSPECTION ce,""' PHONE Lr\r) 9 <br /> UNIT INFORMATION <br /> TANK NO. TYPEOFTANK \Qs NO.OF MOTORS SER.NUMBER . 4 <br /> CHECK LIST 2 I O 2 <br /> Item Done Per. Specs. Need Attn: <br /> Take Mixed Liquor sample ,7, nUc,ON Com- • 3 0 0 0 <br /> Cheek Alarm System O® ® <br /> Turn Off Power <br /> Rinse Surge Bowl ® A I B O 4 <br /> Inspect Effluent Quality j at0,t" (--.4 ® <br /> O <br /> Vacuum Weir and Filters ✓ © 10 <br /> Wash Filters C <br /> Inspect/Replace Top Gasket `l <br /> Inspect/Replace Bottom " a/ O ® 9 O 10 <br /> Inspect alarm Sensors ,, O <br /> Inspect Aerator 0 ® O <br /> Turn Power On <br /> CORRECTIONS RECOMMENDED: REPLACED FILTERS II <br /> REPLACE EXPANDERS II <br /> • COMMENTS <br /> TESTING INFORMATION <br /> IN FIELD TESTS TESTS IN LABORATORY <br /> PH TEMP_ B.O.D. <br /> D.O. D.O. <br /> - C.O.O. __ FECAL COLIFORMS <br /> SETTLEABLE SOLIDS % SUSPENDED SOLIDS <br /> f ; <br /> LICENSE NUMBER <br /> SIGNATURE OF SERVICE OR REPAIRMAN <br /> WHITE/Health Dept. YELLOW/Billing File PINK/Maintenance <br />
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