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3155 Jamestown Road - 28-118-23-33-0012
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Schirmers Wastewater Treatment Reports
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Last modified
8/22/2023 4:24:26 PM
Creation date
1/9/2020 2:23:07 PM
Metadata
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Template:
x Address Old
House Number
3155
Street Name
Jamestown
Street Type
Road
Address
3155 Jamestown Road
Document Type
Septic
PIN
2811823330012
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Authorized Distributor For <br /> TS chrmers Wastewater Treatment Systems, Inc. 111111111 4 FILO <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 4.1 6..e.. 4. NAV,a, • G0,4'f,60,4,4. RESIDENT <br /> ADDRESS -4)15°5' nors.G.4.4,0,4em Rid, CE`r i-N o COUNTY GArN <br /> qVDATE OF INSPECTION r7 ` 5-° PHONE MD4 tlyar) <br /> UNIT INFORMATION <br /> TANK NO. \ TYPEOFTANK ` NO.OFMOTORS 1 SER.NUMBER c), alf)LI <br /> CHECK LIST 2 O O 2 <br /> Item Done Per. Specs. Need Attns <br /> Take Mixed Liquor sample c ,(O';`1t') 3 () O O <br /> Turnk Alarm System ® ® ® <br /> Off ge,+Bo ® A ( B ® <br /> Rinse Surge Bowl 9 <br /> Inspect Effluent Quality 61q,..0.r 5 <br /> Vacuum Weir and F1.1ters 10 /O' 1i O <br /> Hash Filters O <br /> Inspect/Replace Top Gasket / 1 O 8 9 10 <br /> Inspect/Replace Bottom <br /> Inspect alarm Sensors �� OO O O <br /> Inspect Aerator O ® ® <br /> Turn Power On <br /> CORRECTIONS RECOMMENDED: REPLACED FILTERS # <br /> REPLACE EXPANDERS# <br /> . • COMMENTS <br /> • TESTING INFORMATION <br /> IN FIELD TESTS TESTS IN LABORATORY <br /> • <br /> PH TEMP_ B.O.D. <br /> D.O. D.O. <br /> C.O.D. __ FECAL COLIFORMS <br /> SETTLEABLE SOLIDS % KS-- SUSPENDED SOLIDS <br /> � <br /> "` LICENSE NUMBER -S4 <br /> S �, <br /> c: <br /> SIGNATURE OF SERVICE OR REPAIRMAN <br /> Y <br /> S�e.r° C <br /> WHITE/Health Dept. YELLOW/Billing Flle PINK/Maintenance <br />
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