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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 Systems, Inc. nottiTl FlVI <br /> 951 Katydid Lane KE • St. Michael, MN 55376 • (763) 4974566 .AERATION EQUIPMENT <br /> FAX (763) 497-5011 .SALES & SERVICE <br /> GENERAL INFORMATION <br /> OWNER hii +ol 4' <Ae+0o,. IAN CN ,.V,,! RESIDENT <br /> ADDRESS a 1 Tisco.[ (.e'tX. \0/, Com)rC+r,O COUNTY Vi ttm, <br /> DATE OF INSPECTION <br /> I .• z HONE S ��, `-14 k ‘ <br /> UNIT INFORMATION . <br /> TANK NO. \ TYPEOFTANK ‘C)4'' ' NO.OF MOTORS k SER.NUMBER Urni . <br /> CHECK LIST O ® O <br /> Item Done Per. Specs. Need Attni <br /> Trke Mixed Liquor sample J 1'iC'-1r' ®®O O ® <br /> Check Alarm System ® ® ® <br /> Turn Off Power <br /> Rinse Surge Bowl O A ( B O <br /> Inspect Effluent Quality 0 euL! 5 5 <br /> Vacuum Weir and Filters 10 /O\ 1l) O <br /> 10 Nash Filters O C <br /> Inspect/Replace Top Gasket <br /> Inspect/Replace Bottom " / O <br /> ✓ ® ® 10 ® <br /> Inspect alarm Sensors O <br /> Inspect Aerator O ® O <br /> Turn Power On <br /> CORRECTIONS RECOMMENDED: REPLACED FILTERS# <br /> REPLACE EXPANDERS#. COMMENTS <br /> TESTING INFORMATION <br /> IN FIELD TESTS TESTS IN LABORATORY • <br /> PH TEMP_ B.O.D. <br /> D.O. 0.0. <br /> C.O.D. __ FECAL COLIFORMS <br /> SETTLEABLE SOLIDS % 3------ SUSPENDED SOLIDS <br /> 4::4:-;/;?, el, 1 - LICENSE NUMBER <br /> SIGNATURE OF SERVICE OR REPAIRMAN <br /> WHITE/Health Dept. YELLOW/Billing Fite PINK/Maintenance <br />
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