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MULTI-FLO <br />SERVICE/INSPECTION FORM <br />Name of Owner: Zedenko Grajcar Serial Number: <br />Name of Resident (if different than owner) <br />Address: _80 Luce Line Ridge. <br />City: _Orono County: <br />Phone: (home) <br />(x) Residential ( ) Commercial <br />_Hennepin <br />State: _MN <br />(business) <br />Warranty <br />REASON FOR SERVICE CALL: (x) Routine ( ) Owner Request <br />( ) Alarm Activated ( ) Sewer Back-up <br />( ) Septic Odor ( ) Poor Effluent Quality <br />( ) High Water Level ( ) Other: <br />Date of Service: 6/29/21; 10/6/21 <br />INSPECTION RESULTS: <br />I. Checked ALARM (x) YES <br />(x) Alarm Working Properly <br />Checked AERATOR (x) YES <br />(x) Aerator Working properly <br />( ) No Aerator <br />( ) Aerator runs intermittently <br />( ) Clogged Impeller <br />( ) NO <br />( ) Faulty Alarm <br />MEM <br />Zip: _55359_ <br />(x) Service Contract <br />) Complaint <br />( ) Aerator not running <br />( ) Insufficient air supply <br />( ) Blockage in air supply line <br />( ) Comments: <br />III. Checked AERATION CHAMBER (x) YES ( ) NO <br />(x) Brown (x) Clear () Grey/Black (Septic) <br />( ) White Suds ( ) Brown Foam () Overflowing <br />% Settled Solids = 30% <br />Odor: (x) None ( ) Slight () Septic <br />IV. Checked FILTERS (x) YES ( ) NO <br />Filter condition: (x) Normal (no change in water) ( ) Slight restriction (level rises & falls) <br />( ) Filters plugged (level remains high) ( ) Filter (s) torn <br />Solids build-up on filter hanger plate: ( ) None (x) Slight — %" ( ) W-1" ( ) > 1" <br />Surface scum build-up: (x) None ( ) Slight ( ) Heavy <br />Effluent quality = (x) Clear () Turbid () Septic/grey <br />V. Checked SURGE BOWL (x) YES () NO <br />(x) Gasket (top/bottom) in good condition () Gasket (top/bottom) missing or deteriorated <br />SERVICE OR REPAIR PERFORMED: Date Performed: _6/29/21; 10/6/21_ <br />( ) Pumped Multi-Flo/Pre-tank ( ) Cleaned filters <br />( ) Replaced filters Warranty: ( ) YES ( ) NO <br />( ) Replaced aerators Warranty: ( ) YES ( ) NO <br />( ) Repaired alarms Warranty: ( ) YES ( ) NO <br />( ) Replaced expanders Warranty: ( ) YES ( ) NO <br />( ) Replaced gasket: () Bottom () Top <br />(x) Flush weir/pump out filters <br />( ) Peripheral Equipment (i.e. Pumps, Chlorinator, etc.): <br />( ) <br />Other: (describe) <br />(x) Service Work To Be Performed At A Later Date: Will be looking to pump all tanks in <br />2022 <br />( ) Additional Comments: _ <br />Service Performed By: Miller's Sewage Treatment Solutions <br />Authorized MULTI-FLO Service Representative <br />