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HomeMy WebLinkAboutSchirmer's Wastewater Treatment SCHIRMERS WASTEWATER TREATMENT SYSTEMS,INC Steven B Schirmers—951 Katydid Lane NE—St.Michael,MN 55376 schirmerswastewater.com sptesting.wastewater(aicomcast.net Cert.NO.627—(763) 497-3566 —FAX(763) 497-5011 State License#395 General Information OWNER: i)av;u' 4 Eery- PROPERTY LOCATION: ADDRESS: '\(?\05 e.r',--\aces r`w w Of csc“o COUNTY: =t',,, •.. PHONE: c71 S&-kk )S- _ \7'}ctri EMAIL: Unit Information TANK NO. TYPE OF TANK c)S0 NO.OF MOTORS \ SERIAL NO. ,'IN-);? UV REQUIRED ..- Check List Date of Inspection: -11'\�- Date of Inspection: /-_ `- -, 3 Item Done Per.Specs Needs Attention Item Done Per.Specs Needs Attention Take Mixed Liquor Sample m( '( Brown Gray Black Take Mixed Liquor Sample V ✓Brown Gray Black Check Alarm System X Check Alarm System Turn Off Power Turn Off Power Rinse Surge Bowl -7--- Rinse Surge Bowl v/ Inspect Effluent Quality -t Clear Gray Inspect Effluent Quality V V Clear Gray Vacuum Weir And Filters ?C Vacuum Weir And Filters Wash Filters - Spray off Flushed off Wash Filters — Spray off Flushed off Inspect/Replace Top Gasket _ Inspect/Replace Top Gasket -7- Inspect/Replace Bottom _ Inspect/Replace Bottom V Inspect Alarm Sensors Inspect Alarm Sensors V Inspect Aerator X Inspect Aerator -7- Turn On Power Turn On Power "'_ CORRECTION RECOMMENDED CORRECTION RECOMMENDED SETTABLE SOLIDS 1(%1 % UV SETTABLE SOLIDS . r) % UV LAB TEST LAB TEST FECAL COLIFORMS FECAL COLIFORMS MONITORED DRAINFIELD MONITORED DRAINFIELD Dry Ponding _ Depth H2O Dry_ Ponding _ Depth H2O Com— -‘22, (; , _ i SIGNATURE OF SERVICE OR REPAIR MAN SIGNATURE OF SERVICE OR REPAIR MAN AUTHORIZED DISTRIBUOR FOR MULTI-FLO AERATION EQUIPMENT SALES AND SERVICE SC_ RMERS WASTEWATER TREATMENT SYSTEMS,INC. Steven B. Schirmers • 951 Katydid Lane NE • St. Michael, MN 55376 www.mnmultiflo.com - www.multiflo.com Cert.No.627 • (763) 497-3566 • FAX (763) 497-5011 State License #395 GENERAL INFORMATION OWNER \)CJ 1t;_;, („0-1,1 RESIDENT ADDRESS IC)0 ` '',\'SA\ a '. COUNTY O DATE OF INSPECTION (Er ~` I I 0 PHONE '),(1..), , t,,,,!, UNIT INFORMATION TANK NUMI3ER TYPE OF TANK `) (.) NO.OF MOTORS - I SERIAL NO. 0, 19 CHECK LIST ITEM DONE PER.SPECS. NEEDS ATTN: TAKE MIXED LIQUOR SAMPLE 'V 'f7),'.'? ! 0 ® 2 CHECK ALARM SYSTEM ii ( TURN OFF POWER 3 O ® i J O RINSE SURGE BOWL ® ' INSPECT EFFLUENT QUALITY !f, 1. 1t:" 1 (- 4)C) ®O A I B ® VACUUM WEIR AND FILTERS V • WASH FILTERS ' 10 /O� 11 INSPECT/REPLACE TOP GASKET , © C © -' INSPECT/REPLACE BOTTOM" INSPECT ALARM SENSORS / OO ® O 10 INSPECT AERATOR \I j / TURN ON POWER ( ✓ O O3 ® ® CORRECTIONS RECOMMENDED: REPLACED FILTERS REPLACED EXPANDERS COMMENTS MONITORED DRAINFIELD FOR PERFORMANCE TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY PH TEMP B.O.D. , D.O. D.O. C.O.D. FECAL COLIFORMS SETTABLE SOLIDS % 1 !) SUSPENDED SOLIDS r LICENSE NUMBER ` ) SIGNATURE OF SERVICE OR REPAIRMAN AUTHORIZED DISTRIBUTOR FOR - MULTI-FLA - AERATION EQUIPMENT SALES AND SERVICE SCMHltMERS WASTEWATER TREATMENT SYSTEMS,INC Steven B. Schirmers • 951 Katydid Lane NE • SL Michael, MN 55376 www.mnmultiflo,com - www.multiflo.com Cert.No.627 • (763) 497-3566• FAX (763) 497-5011 State License#395 GENERAL INFORMATION • OWNEW'Z)cy,y', z44- RESIDENT ADDRESS r1045 �ttr'c1-a5C.. "tr OrL>f-NCa COUNTY 11 014,.1V1i210 DATE OF INSPECTION \ -- ' -0PHONE CI- - d-1,�'S'' `6' UNIT INFORMATION TANK NUMBER TYPE OF TANK 1 NO.OF MOTORS \ SERIAL NO. ) 1 'S CHECK LIST ITEM DONE PER.SPECS. NEEDS ATTN: '"' TAKE MIXED LIQUOR SAMPLE Is I' U O O�'J�O CHECK ALARM SYSTEM , , >' TURN OFF POWER CI) D O '` �J.O0 RINSE SURGE BOWL I, O O ''I' INSPECT EFFLUENT QUALITY X,, 0 t t. I O g VACUUM WEIR AND FILTERS X 5 O A I F3 O 5 • WASH FILTERS 10 INSPECT/REPLACE TOP GASKET 7( ©10 O\ 'hi.,,,,,,,.- O G- C• O INSPECT/REPLACE BOTTOM" '� I��pi lii j 1 �''. INSPECT ALARM SENSORS ,.' 7 <10 INSPECT AERATOR -,�( ..--- �✓i, OO ® O J TURN ON POWER ..� O• O O O • CORRECTIONS RECOMMENDED: REPLACED FILTERS REPLACED EXPANDERS COMMENTS MONITORED DRAINFIELD FOR PERFORMANCE TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY PH TEMP B.O.D. D.O. D_O. C.O.D. • FECAL COLIFORMS SETTABLE SOLIDS % \' - ' SUSPENDED SOLIDS 7,_ i e) ,, ,i-/4,),,..„,,,,,_ LICENSE NUMBER Z4';'/. SIGNATURE OF SERVICE OR REPAIRMAN AUTHORIZED DISTRIBUTOR FOR - MULTI-FLO -AERATION EQUIPMENT SALES AND SERVICE SCHIRMERS WASTE WATER TREATMENT SYSTEMS,INC Steven B. Schirmer$ • 951 Katydid Lane NE • St. Michael, MN 55376 www.mnmultiflo.com - www.multiflo.com. Cert.No_627 • (763) 497-3566 • FAX (763) 497-5011 State License#395 GENERAL INFORMATION OWNER 0,,11‘+' SG.o RESIDENT ADDRESS \ I\ c 'SA GC+ a.r t,, ''`�', �; C>roc,4,t1 COUNTY .\• DATE OF INSPECTION ' ^\\"*C01,) PHONE CAS r1 W)45.' )1,46r) UNIT INFORMATION TANK NUMBER ._ t TYPE OF TANK )6, NO.OF MOTORS \ SERIAL CHECK LIST ITEM DONE PER.SPECS. NEEDS ATTN:. O L.. O ® TAKE MIXED LIQUOR SAMPLE rA�`d4(* �c,In a 2 CHECK ALARM SYSTEM `/O TURN OFF POWER ® Z() RINSE SURGE BOWLINSPECT EFFLUENT QUALITY ÷ C\ ► ( ^HIB ®VACUUM WEIR AND FILTERS WASH FILTERS1!) INSPECT/REPLACE TOP GASKET O C INSPECT/REPLACE BOTTOM" ?‹ i I'.,q;, INSPECT ALARM SENSORS • ✓. O O ® ® 1Q O ••i.. INSPECT AERATOR Jf TURN ON POWER c1 ,00 CORRECTIONS RECOMMENDED: REPLACED FILTERS REPLACED EXPANDERS COMMENTS ' TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY PH TEMP B.O.D. D.O. D.O. C.O.D. FECAL COLIFORMS SETTABLE SOLIDS % (0 SUSPENDED-SOLIDS SIGNATURE OF SERVICE OR REPAIRMAN LICENSE NUMBER ,5 AUTHORIZED DISTRIBUTOR FOR - MULTI-FLO -AERATION EQUIPMENT SALES AND SERVICE SCHIRMERS WASTE WA TER TREATMENT SYSTEMS,INC. • Steven B. Schirmers • 951 Katydid Lane NE • St. Michael, MN 55376 www.mnmultiflo.com - www.multiflo.com Cert.No.627 • (763) 497-3566 • FAX (763) 497-5011 State License #395 � GENERAL INFORMATION OWNER % 1Clt.,1`\ :')&io--'r , RESIDENT ADDRESS ) 9 0 3 0 f:–/Kr---i -.<1t '4G- v'er, :". 1 CYV-0',..v.) COUNTY H 0,N - DATE OF INSPECTION I ?,. --11 — 0 cd PHONE 96'2- - '9 Si.- )'7 c;') UNIT INFORMATION TANK NUMBER J TYPE OF TANK ' D NO.OF MOTORS - / SERIAL NO. 9. I 1) R CHECK LIST ITEM DONE PER.SPECS. NEEDS ATTN: TAKE MIXED LIQUOR SAMPLE \/ Y. O'-4�'1..� /2>0 1 10 2 CHECK ALARM SYSTEM V/ T �J O 3 TURN OFF POWER a O r O RINSE SURGE BOWL ,� 00 - INSPECT EFFLUENT QUALITY V 1.1..' r e.- 0O / 9 0 VACUUM WEIR AND FILTERS -,+- WASH FILTERS 10 VU O 1O INSPECT/REPLACE TOP GASKET Ni, © C '' © i INSPECT/REPLACE BOTTOM" V i'!„, INSPECT ALARM SENSORSvi 0 10 ' INSPECT AERATOR viov✓ CP ® ®O TURN ON POWER ` - O 0 ® 5 CORRECTIONS RECOMMENDED: REPLACED FILTERS N i ' ..-c0 " ' v"x'41? ;7-,t.,v'7.z ., `` <'',+ REPLACED EXPANDERS COMMENTS MONITORED DRAINFIELD FOR PERFORMANCE TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY PH TEMP B.O.D. - , D.O. D.O. C.O.D. FECAL COLIFORMS SETTABLE SOLIDS % 4 6 - SUSPENDED SOLIDS (1,', !rA: ---- LICENSE NUMBER 3 , .:r"' SIGNATURE OF SERVICE OR REPAIRMAN AUTHORIZED DISTRIBUTOR FOR - MULTI-FLO -AERATION EQUIPMENT SALES AND SERVICE SCHIRMERS WASTEWATER TREATMENT SYSTEMS,INC. _ Steven B. Schirmers • 951 Katydid Lane NE • St. Michael, MN 55376 www.mnmultiflo.com - www.multiflo.com Cert.No.627 • (763) 497-356 • FAX (763) 497-5011 State Licens #395 GENERAL INFORMATION OWNER '4 AV1"SJ SC-U ''C RESIDENT ADDRESS f ci 0 5 I'''st"* l-('A 1.,`C''' 'zi(fv)4: %0 ,A0 COUNTY 1- 1%"�10 DATE OF INSPECTION 'a,_.S- QG) PH NE 957, --" 4c) 5 1c)i),9 UNIT INFOR ,TION TANK NUMBER I TYPE OF TANK 0 NO.OF MOTORS I SERIAL NO. 1:),)/) ,5; CHECK LIST -- ITEM DONE PER.SPECS. NEEDS ATTN: TAKE MIXED LIQUOR SAMPLE ')u -r,). O O O CHECK ALARM SYSTEM 7 . 3 ' TURN OFF POWER J O® © O RINSE SURGE BOWL 6\...‹,1,^171_, r I ZO I � © INSPECT EFFLUENT QUALITY C64‹ i_. A O O VACUUM WEIR AND FILTERS WASH FILTERS ' `c— 4.);f'�i' O 6 10 / 10 B INSPECT/REPLACE TOP GASKET ;. C "' ; , , INSPECT/REPLACE BOTTOM" ;!:., INSPECT ALARM SENSORS 4.Y /' O 7 ® O 10 =Cr INSPECT AERATOR �� ; , ✓ O O ® O TURN ON POWER CORRECTIONS RECOMMENDED: REPLACED FILTERS Yt1 w .ifi-;.' :) 01,1 1 A 41-.A6 0 -*sh§`x,' REPLACED EXPANDERS COMMENTS MONITORED DRAINFIELD FOR PERFORMANCE 1 TESTING INFORMATION IN FIELD TESTSTESTS IN LABORATORY PH TEMP B.O.D. , D.O. D.O. C.O.D. FECAL COLIFORMS SETTABLE SOLIDS % \''1- �' A ' A" ' ' - SUSPENDED SOLIDS M '. �` ��' '..,, ` LICENSE NUMBER -ur1•'a SIGNATURE OF SERVICE OR REPAIRMAN AUTHORIZED DISTRIBUTOR FOR - MU TI-FL. O - AERATION EQUIPMENT SALES ANth SERVICE SCHIRMERS WASTEWATER TREATMENT SYSTEMS,INC. �.+ Steven B. Schirmers • 951 Katydid Lane NE • St. Michael, MN 55376 • www.mnmultiflo.com - www.multiflo.com Cert.No.627 • (763) 497-3566 • FAX (763) 497-5011 State License #395 GENERAL INFORMATION OWNER 1�*J1 `.z)Ca-c< RESIDENT ADDRESS 19 0.' 14W---1.-1N.0 - -v-c-\v' - 1 O'S'=0 U COUNTY \4' .`4- , DATE OF INSPECTION 5 - 1`l- -(J 1) PHONE '1S d,^ r) "" ) `)ce`7 UNIT INFORMATION TANK NUMBER I TYPE OF TANK 9‘0 NO.OF MOTORS 1 SERIAL NO. ')-)r1? CHECK LIST ITEM DONE PER.SPECS. NEEDS ATTN: U O © 0 TAKE MIXED LIQUOR SAMPLE 1) L� © © © O ) CHECK ALARM SYSTEM V r;', O ( TURN OFF POWER J RINSE SURGE BOWL LVA� { (-) O A p b()(:-) INSPECT EFFLUENT QUALITY Vr U VACUUM WEIR AND FILTERS Vii © 10 1 INSPECT/REPLACE TOP GASKET Vi V C INSPECT/REPLACE BOTTOM" INSPECT ALARM SENSORS 1f O O 8 O ® 1 Q INSPECT AERATOR v" TURN ON POWER V © ® 0 CORRECTIONS RECOMMENDED: REPLACED FILTERS A .-.4 ckvl - •S 'C='E.-1/lt-c-c A 1-v A-WY REPLACED EXPANDERS COMMENTS TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY PH TEMP B.O.D. D.O. D.O. C.O.D. FECAL COLIFORMS SETTABLE SOLIDS % /0 SUSPENDED SOLIDS /71-^-- (57/e C .----- LICENSE NUMBER cl,S SIGNATURE OF SERVICE OR REPAIRMAN AUTHORIZED DISTRIBUTOR FOR - MULTI-FLO -AERATION EQUIPMENT SALES AND SERVICE • SCHIRMERS WASTEWATER lf"Y A TER l.RLE.,i.16<Y E1 V d 1J YS3 EMS, NC. Steven B. Schirmers • 951 Katydid Lane NE • St. Michael, MN 55376 www.mnmultiflo.com - www.multiflo.com Cert.No.627 • (763) 497-3566 • FAX (763) 497-5011 State License #395 GENERAL INFORMATION OVVNER ft.)\ SCdq' j'S RESIDENT ADDRESS 1 9 0 k-WV'1.1`1l16f7- " »'t4.?' ",1 (21,A9 S.to COUNTY _ , DATE OF INSPECTION • CSS '"0 S PHONE 7 r),—' 141,5%.• .^ � UNIT INFORMATION TANK NUMBER TYPE OF TANK ''1,0 NO.OF MOTORS 1 SERIAL NO.'., � ' ? 6 CHECK LIST ITEM DONE PER.SPECS. NEEDS ATTN: TAKE MIXED LIQUOR SAMPLE Y �,j" f to-3 ti (?) O O O CHECK ALARM SYSTEM O 7 O TURN OFF POWER ^ RINSE SURGE BOWL O ® INSPECT EFFLUENT QUALITY %t ® A I B O 5 VACUUM WEIR AND FILTERS 1 O O \ WASH FILTERS • ©10 �\ 10 \ INSPECT/REPLACE TOP GASKET INSPECT/REPLACE BOTTOM'' Y , 1 8 10 INSPECT ALARM SENSORS INSPECT AERATOR ✓ OO O O 5 TURN ON POWER V ® ® CORS"ECTIONS RECOMMENDED: REPLACED FILTERS REPLACED EXPANDERS COMMENTS TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY PH TEMP B.O.D. D.O. D.O. C.O.D. FECAL COLIFORMS SETTABLE SOLIDS % SUSPENDED SOLIDS '' LICENSE NUMBER - i .E:s SIGNATURE OF SERVICE OR REPAIRMAN AUTHORIZED DISTRIBUTOR FOR - MULTI-FL,O - AERATION EQUIPMENT SALES AND SERVICE Authorized Distributor For Schirmers Wastewater Treatment Systems, Inc. nifulyprig 951 Katydid Lan6'NE • St. MIChael, MN 55376 • (70 41:3-566. AERATION EQUIPMENT FAX (763) 497-5011 SALES & SERVICE GENERAL INFORMATION OWNER "U \\/ ) RESIDENT ADDRESS (; -s.).-c-)o,„ act:41 _1 0 COUNTY 1.4 ,< DATE OF INSPECTION ) 0 L-,1 PHONE 1 UNIT INFORMATION TANK NO. ) TYPEOFTANK NO.OF MOTORS / SER.NUMBER • CHECK LIST (-2--) I tem Gorr .pr.,,Specs. Need ® 0 . Atte! 0 T Mfg IlIxeci Liquor sample • Cheek Alarm System Turn Off Power % ® ® Rinse Surge Bowl '`,/ ® ® A B ® ® Inspect Erfluent Quality et Vacuum Weir and Filters 6 Wash Filters rAY.OW 17Y1 ' Inspect/Replace Top Gasket Inspect/Replace Bottom " / • /1:\ (g1 Inspect alarm Sensors 90/i ®fi-3\ 0 Inspect Aerator • k:t.%) 0 0 0 Turn Power On CORRECTIONS RECOMMENDED: REPLACED FILTERS It 1 )% REPLACE EXPANDERS It COMMENTS TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY PH TEMP B.O.D. D.O. D.O. C.O.D. FECAL COLIFORMS SETTLEABLE SOLIDS % SUSPENDED SOLIDS LICENSE NUMBER SIGNATURE OF SERVICE OR REPAIRMAN • WHITE/Health Dept. YELLOW/Billing File PINK/Maintenance Authorized Distributor For Schirmers Wastewater Treatment Systems, Inc. 11/11111714,10 951 Katydid Lane NE • St.Michael, MN 55376 763 497-3566 ( ) AERATION EQUIPMENT FAX (763) 497-5011 .SALES & SERVICE GENERAL INFORMATION OWNER .\-'>ov' c h RESIDENT ADDRESS \cVJS 1`1GC. " ckc't 'e c." t � (:,, �' COUNTY c,-osf°\ DATE OF INSPECTION PHONE I-11) lr?�j ) UNIT INFORMATION TANK NO. TYPEOFTANK )% NO.OFMOTORS SER.NUMBER '),1 ),c5 CHECK LIST Item Done Per. Specs. Need Attn: 1 O Take Nixed Liquor sample 4 CIrO O (I Cheek Alarm System j O Turn Off Power 8 Rinse Surge Bowl Inspect Effluent y t' O 9 Qua .�TtO,� 5 O U O O Vacuum Weir and Filters ( O 10 Wash Filters 10 O Inspect/Replace Top Gasket C s Inspect/Replace Bottom " I O 7 10 Inspect alarm Sensors / O ® O Inspect Aerator . ✓ O O O O Turn Power On CORRECTIONS RECOMMENDED: REPLACED FILTERS # REPLACE EXPANDERS• H COMMENTS TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY PH TEMP B.O.D. D.O. D.O. C.O.D. FECAL COLIFORMS. SETTLEABLE SOLIDS % SUSPENDED SOLIDS f LICENSE NUMBER c,1 • 4� SIGNATURE OF SERVICE OR REPAIRMAN WHITE/Health Dept. YELLOW/Billing File PINK/Maintenance Authorized Distributor For • V S chirmers Wastewater Treatment Systems, Inc. nenifirip Fl D 951 Katydid Lane�N-E • St. Michael, MN'55376 • (763) 497-3566 ,AERATION EQUIPMENT FAX (763) 497-5011 SALES & SERVICE GENERAL INFORMATION • OWNER 1)c• . +. Cc-614 RESIDENT ADDRESS V\01' e,r®k'f y, b r;ve, OletiN ,D COUNTY a." DATE OF INSPECTION t--)_ s 05-- PHONE " 7'69 UNIT INFORMATION . TANK NO. \ TYPE OFTANK 7)5. :) NO.OF MOTORS ) SER NUMBER 9. 4 r7aC CHECK LIST 2 O O 2 Item Do Per. Specs. Need Attn; Take Mixed liquor sample . 1 P8`�+i h O�O O O Cheek Alarm System ®Oa J Turn Off Power O A ( O Rinse Surge_ Bowl 9 Inspect Effluent Quality ('0,4k,r O EL. O Vacuum Weir and Filters © 10 /C\ [)O Wash Filters Inspect/Replace Top Gasket Inspect/Replace Bottom " OO ® ® s Inspect alarm Sensors O 10O Inspect Aerator • t/� O ® O Turn Power On CORRECTIONS RECOMMENDED: REPLACED FILTERS# REPLACE EXPANDERS# •• COMMENTS • TESTING INFORMATION . IN FIELD TESTS TESTS IN LABORATORY . PH TEMP_ B.O.D. D.O. D.O. • C.O.D. __ FECAL COLIFORMS SETTLEABLE SOLIDS % \0 SUSPENDED SOLIDS ,74--- 6 . ---- LICENSE NUMBER 35r- SIGNATURE OF SERVICE OR REPAIRMAN 0 . • WHITE/Health Dept. YELLOW/Billing File PINK/Maintenance Authorized Distributor For r-Schirmers 'Wastewater Treatment Systems, Inc. iviiltypFll& 951 Katydid Lane NE •St Michael, MN 5376 • (763) 4074566. ;AERATION EQUIPMENT . FAX (763) 497-5011- :SALES & SERVICE GENERAL INFORMATION - OWNER >Aft& 6c' RESIDENT ADDRESS \I,05' k4 e,c -ra.,Wc, t•,,te.,, ' C,'r. coc1D CO NTY 4eCtiN DATE OF INSPECTION • \ - 1 - 0 PONE 1491- \ (9 UNIT INFORMATION • TANK NO. 1 TYPE OF TANK NO.OF MOTORS SER.NUMBER : ' c CHECK LIST O I� Done Per. Specs. Need Attn: • 2 O Take Mixed Liquor sample 4 Q(Dv4 N 'cCk.r.si 3 �O O O Chedk Alarm System -V— Turn O® Off Power * 4 Rinse Surge Bowl OO I B OO Inspect Effluent Quality • C\eA.( O O O Vacuum Weir and Filters © 1010 Wash Filters C Inspect/Replace Top Gasket O O O O 10 Inspect/Replace Bottom " Inspect alarm Sensors O 5 Inspect Aerator • O. ® O Turn Power On ,34 CORRECTIONS RECO MENDED: REPLACED FILTERS# ��'''�� `n 'f • REPLACE EXPANDERS # . . - COMMENTS TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY • PH TEMP_ B.O.D. D.O. D.O. C.O.O. FECAL COLIFORMS SETTLEABLE SOLIDS % '33 SUSPENDED SOLIDS ; _ _ LICENSE NUMBER C SIGNATUREOF SERVICE OR REPAIRMAN . • WHITE/Health Dept. YELLOW/Billing Flle PINK/Maintenance - - Authorized Distributor For S chirmers Wastewater Treatment Systems, Inc. nittorpnin 951 Katydid..Cane filE .fit.". chael, MN-55578...CMS).4a7_b68 ;AERATION EQUIPMENT FAX (763) 497 .SALES & SERVICE • .GENERAL INFORMATION • OWNER _C4' �- RESIDENT ADDRESS r • ■ , i'- , » Ivor; ��-R r.... + COUNTY_ �n DATE OF INSPECTION UNIT INFORMATION • , a� • TANK NO. TYPE OFTANK. `� NO.OF MOTORSSER.NUMBER . .• CHECK LIST •.y.-� ..�� . 2 0 , • O ��� . -- 3 O Q Q7 :PaC) ) Take Mixed Liquor sample O® C1xrCk lllar+n System — -- 4 `J ro Turn Off Power ( ) ( O Rinse Surge Bowl �,I^'� O A O O Inspect Effluent Quality C..LLaa— ©10 /• �� 10(Dc a•Weir and F1•1ters . Wash Filters Inspect/Replace Top Gasket „.. /.. O O O O 6 Inspect/Replace Bottom " —• O Inspee! alarm Sensors ----� ..-- 10 ,00 Inspect Aerator . Turn Power On CORRECTIONS RECOMMENDED: • . REPLACED FILTERS# REPLACE EXPANDERS# COMMENTS • TESTING INFORMATION IN FIELD TESTS TESTS IN-LABORATORY • . PH — TEMP._ B.O.D. D.O. D.O. FECAL COLIFORMS C.O.o. _ SUSPENDED SOLIDS SETTLEABLE SOLIDS % \ 0 i ... z.L____ G�j, `.�....---.---- LICENSE NUMBER3Q1� SIGNATURE•OF SERVICE OR REPAIRMAN • • WHITE/Heetth dept. YELLOW/BItiin9 Fite . PINK/Maintenance �cizii�rxiers Wastewater Treatmen ystems, Inc. ; , . L7I4FI CI 951 Katydid°Laney . Sf..1Ic1�ae1, M W '.(763). .7' 566 . ;AERATION EQUIPMENT FAX (763) 497-5011 :$ALES & SERVICE GENERAL INFORMATION • OWNER 'S)1-)‘) .) .St.o''C-1.' RESIDENT ADDRESS I9s DATE OF INSPECTION II. - N —00-4 PHONE i'il -111W UNIT INFORMATION • TANK NO. ) TYPEOFTANK 7((-) NO.OF MOTORS SER.NUMBER) ,I'2 CHECK LIST 0 Q Item Done epr. Specs. Need Attnt • O O Take Nixed Liquor sample .i..., retQ1.t.A.31 41441/4..i O a O O ,._,0 Check Alarm System (74\ O v Turn Off Power Rinne Surgo Bowl �� O O A B O O Inspect Effluent Quality T7/ L ,1%.A .• s 1� /0 10 Vacuum Weir and Fi•iters �.1L_. O C Wash Filters . Inspect/Replace Top Gasket . 1 O 8 ® 1p Inapoct/Replace Bottom " ....__-- lir O© ® b Inspect alarm Sensors Inspect Aerator • -- ' O Turn Power On • CORRECTIONS RECOMMENDED: REPLACED FILTERS# O 16rw1 -0 \.1.s:, ° •-'vD?C.*te` REPLACE EXPANDERS# COMMENTS TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY • PH TEMP B.O.D. D.O. D.C. • C.O.D. _ FECAL COLIFORMS SETTLEABLC SOLIDS % S SUSPENDED SOLIDS . 6_.._ V ..4,,CL.-•; LICENSE NUMBER 3 9.- SIGNATURE OF SERVICE OR REPAIRMAN ' WHITE/Health Dept. YELLOW/Billing Flle PINK/Malnlenance 5 chirrxlters Wastewater Treatment Systems, Inc. .• J 71jnn n •• ,AFRATIE7N EQUIPMENT 951 Katydid•Carie ll��=��;�c�iael, •NIN��'��� 3)4974011 ALES & SERVICE • •GENERAL.INFORMATION • OWNERr-,CLJ1 d. CC45-ti- RESIDENT • ADDRESS M O'S 414- r)i. 0(amo COUNTY DATE OF INSPECTION S 30 -0 3 • PHONE UNIT INFORMATION • ' TANK NO. • I TYPEOFTANK. 7S0. NO.OFMOTORS SER.NUM BERI2I S • . CHECK LIST . I term Done Pr. acs. Need Attnr O. • O O 3 • Tike Mixed Liquor sample ✓ O 8 ®O Check Alarm System ® Turn Off Power } - Rinse Suryo Bowl lQ O O /A B ® O Inspect Effluent Quality v/ O Vacuum Weir and F$lters (/ 100 ©Os Nash Filters .L • C •Inspect/Replace Top Casket _44 . • Inmpctct/Rrtplace Bottom " 4 • • ()in,' ® ® ®© Inspect alarm Sensors4171. • 3 4 ® Inspect Aerator • --- O Turn Power On • • CORRECTIONS RECOMMENDED: . REPLACED FILTERS It . REPLACE EXPANDERS It , COMMENTS TESTING INFORMATION • IN FIELD TESTS TESTS IN•LABORATORY • . PH TEMP._ B.O.D. . D.O. • D.O.. C.O.D. _ FECAL COLIFORMS SETTLEABLE SOLIDS % - /0 SUSPENDED SOURS- • 39s-- 4 � ^�....._. LICENSE NUMBER SIGNATURE.OF SERVICE OR REPAIRMAN WHITE/Health Dept. YELLOW/BUlinp File • PINK/Maintenance Autnonzea 'Abu Iuutui rut Schirmers Wastewater Treatment Systems, Inc. nitinnring 951 Katydid Lane;'NE •St:Miichael, MN 65376 • (763) 4.97-3566 ;AERATION EQUIPMENT FAX (763) 497-5011 SALES & SERVICE GENERAL INFORMATION OWNER 't A L)v' 9-11'S- RESIDENT ADDRESS ) c10 .‹ 1-I' -'1""(i), `GrSZ k.) - OVA/ O COUNTY u .\`0 DATE OF INSPECTION I 'i 0 ' 0 eS PHONE `'IO\�)1./`E7 UNIT INFORMATION TANK NO. / TYPEOFTANK 95-'0 NO.OF MOTORS / SER NUMBER 9. 17 ..--- CHECK LIST 0 ® Item Done Per. Specs. p Need Attn: Take Mlxod Liquor sample '�k�w • ' • 3. O O /r�, 3 Check Alarm System ✓ O® V Turn Off Power 4 Rinse Surge Bowl O® A I O r'4 B Inspect Effluent Quality4 G.L't "�" O 1� /O� 1Q O Vacuum Weir and Filters 6 Wash Filters O C Inspect/Replace Top Gasket / O 10 Inspect/Replace Bottom " { (Da) ® ® Inspect alarm Sensors ^ O O O O Inspect Aerator • Turn Power On CORRECTIONS RECOMMENDED: REPLACED FILTERS# REPLACE EXPANDERS# . • COMMENTS TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY PH TEMP._ B.O.D. D.O. D.O. C.O.D. __ FECAL COLIFORMS SETTLEABLE SOLIDS % 10 SUSPENDED SOLIDS '6°"-- fk °"" LICENSE NUMBER ci gel SIGNATURE OF SERVICE OR REPAIRMAN WHITE/Health Dept. YELLOW/Billing Flle PINK/Maintenance . , . Authorized Distributor For Schirmers Wastewater Treatment Systems, Inc. millinr,iiii 951 Katydid Lane NE • St. Michael, MN 55376 • (763) 497-3566 AERATION EQUIPMENT FAX (763) 497-5011 SALES & SERVICE GENERAL INFORMATION OWNER DAvt;d CO6 '4 RESIDENT ADDRESS ‘°105 \(400 *, V) .% Oros o COUNTY \-A ult.. DATE OF INSPECTION 5`3,`l, - Oa _ PHONE 1V)5- I9$9 UNIT INFORMATION TANK NO. TYPEOFTANK �5-C NO.OFMOTORS \ SER.NUMBER 7 1f7 CHECK LIST O ® O Item Done Per. Specs. Need Attn: Take Mixed Liquor sample 1 ,(a'if ] ] ) Cheek Alarm System J O®O ®O Turn Off Power \ Rinse Surge Bowl —✓7- 4 ® A I B ® 4 Inspect Effluent Quality / ( IE�ctC tj O O O O Vacuum Weir and Filters T ® iQ n 1) 5 Wash Filters 6 C Inspect/Replace Top Gasket V Inspect/Replace Bottom " \( ,�/✓ ®0 ® O 10 O Inspect alarm Sensors O Inspect Aerator I ® ® ® Turn Power On CORRECTIONS RECOMMENDED: REPLACED FILTERS II• REPLACE EXPANDERS It . COMMENTS — TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY PH TEMP _ B.O.D. D.O. D.O. C.O.D. ___ FECAL COLIFORMS SETTLEABLE SOLIDS % 2)5' SUSPENDED SOLIDS ,, Z .,zC. LICENSE NUMBER 32 SIGNATURE OF SERVICE OR REPAIRMAN WHITE/Health Dept. YELLOW/Billing File PINK/Maintenance . Authorized Distributor For Schirmers Wastewater Treatment Systems, Inc. niTpFlg 951 Katydid Lane NE • St. Michael, MN 55376 • (763) 497-3566 AERATION EQUIPMENT FAX (763) 497-5011 SALES & SERVICE GENERAL INFORMATION OWNER "Dai G 61 Sr 444- RESIDENT ADDRESS ICI O 1 e, f i±4Ase, Dr ) Q f o(`` c) COUNTY_ �"'`, DATE OF INSPECTION • 1 I ' 1 — O 2 PHONE ""T i> n UNIT INFORMATION _ TANK NO. e TYPEOFTANK / � NO.OF MOTORS SER.NUMBER r/+ I r� 5 CHECK LIST U 01 11 O Item Do Per. Specs, Need Attn: Tike Mixed Liquor sample y,�'y O O O O Cheek Alarm System B Turn Off Power 7/ Rinse Surge Bowl V O A I B O Inspect Effluent Quality 4 L.l ectr ® 10 /Q `+ 10 O Vacuum Weir and Filters .�_ CI Nash Filters C Inspect/Replace Top Gasket Inspect/Rnplice Bottom O O ® O 10 Inspect alarm Sensors O Inspect Aerator O ® O Turn Power On CORRECTIONS RECOMMENDED: REPLACED FILTERS # oc s a r e. ),, REPLACE EXPANDERS# . COMMENTS TESTING INFORMATION • IN FIELD TESTS TESTS IN LABORATORY PH TEMP_ B.O.D. D.O. D.O. C.O.D. __ FECAL COLIFORMS SETTLEABLE SOLIDS % 40 SUSPENDED SOLIDS ,,,,44•C'--" 0 LICENSE NUMBER ?S SIGNATURE OF SERVICE OR REPAIRMAN WHITE/Health Dept. YELLOW/Bluing File PINK/Maintenance Authorized Distributor For S chirmers Wastewater Treatment Systems, Inc. muI Tl FL D 951 Katydid Lane NE • St. Michael, MN 55376 • (612) 497-3566 AERATION EQUIPMENT SALES & SERVICE GENERAL INFORMATION OWNER 1 �4.4,"1' -. RESIDENT ADDRESS I '0 s i'►i )•"cAL' 'CA ) ( (9v0 COUNTY DATE OF INSPECTION L7 , � _ C� ) PHONE 14')S•' ) ')`d7 UNIT INFORMATION TANK NO. 1 TYPEOFTANK NO.OF MOTORS / SER.NUMBER 9,1 7� CHECK LIST U O O O Item Done Per. Specs. Need Attn:4^ Take Mixed Liquor sample ✓ a %4 Check Alarm System -"� O®O O O Turn Off Power Rinse Surge Bowl 4 O /\ 9 O Inspect Effluent Quality /`/0\ 0 O Vacuum Weir and Filters Wash Filters 4UKA4 O Inspect/Replace Top Gasket Inspect/Replace Bottom " O O $ �Q s Inspect alarm Sensors O O O InspectAerator O ® O Turn Power On CORRECTIONS RECOMMENDED: REPLACED FILTERS # POW)--C7 1 1 'I'' "I�t.ro -Wei A?7 REPLACE EXPANDERS # COMMENTS TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY PH TEMP _ B.O.D. D.O. D.O. C.O.O. ___ FECAL COLIFORMS SETTLEABLE SOLIDS % SUSPENDED SOLIDS LICENSE NUMBER SIGNATURE OF SERVICE OR REPAIRMAN WHITE/Health Dept. YELLOW/Billing File PINK/Maintenance Authorized Distributor For Schirmers Wastewater Treatment Systems, Inc. miii ii l i ii 951 Katydid Lane NE • St. Michael, MN 55376 • (612) 497-3566 AERATION EQUIPMENT SALES & SERVICE GENERAL INFORMATION OWNER DcnV 6 3 t •_' RESIDENT �. :. ADDRESS COUNTY • "1 � - T•"1 `.:_k �"�q �� :: ,. .-1.;, ..�i �'.; ; ,�` , ;.��. ;,. °, DATE OF INSPECTION • 1 "" •._ 0 i PHONE`-,4t .� I r��6 rl UNIT INFORMATION ' TANK NO. TYPEOFTANK -' NO.OF MOTORS SER.NUMBER c/` - ri `-'L ) CHECK LIST U O O O Item Done Per. Specs. Need Attn: Take Mixed Liquor sample r,/ ( 3 ® O ® Cheek Alarm System J (7, O LED r,4 Turn Off PowerO j., O Rinse Surge Bowl O 9 /� B 5 Inspect Effluent Quality 7- ( \ec.` CJ 10 „ Vacuum Weir and Filters O I,/ ©O /C\ 10 ® Wash Filters 6 Inspect/Replace Top Gasket o_ / O 10 Inspect/Replace Bottom �✓ 010 ® OO Inspect alarm Sensors ✓ 2 Inspect Aerator • ' O ® O Turn Power On _7" CORRECTIONS RECOMMENDED: REPLACED FILTERS # REPLACE EXPANDERS tt • COMMENTS • TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY PH TEMP_ B.O.D. D.O. D.O. C.O.D. __ FECAL COLIFORMS SETTLEABLE SOLIDS % \5 SUSPENDED SOLIDS LICENSE NUMBER SIGNATURE OF SERVICE OR REPAIRMAN • WHITE/Health Dept. YELLOW/Billing File PINK/Maintenance Authorized Distributor For Schirmers Wastewater Treatment Systems, Inc. ,ry7UITIoFID 951 Katydid Lane NE • St. Michael, MN 55376 • (612) 497-3566 AERATION EQUIPMENT SALES & SERVICE GENERAL INFORMATION OWNER V S cesc'r RESIDENT ADDRESS ' a, _ datt _ ` - - s ,4 o ' by 0 COUNTY }'N}-( DATE OF INSPECTION 60'-1 - 00 HONE LI9.5".*- I r)`CS) 7 UNIT INFORMATION . TANK NO. ` TYPEOFTANK -) ,SO NO.OF MOTORS ) SER.NUMBER 0.I 7a 6— CHECK LIST 2 � (5-10 I tem Per. Specs. Need Attn: Take Mixed Liquor sample3 O�O O 3 Cheek Alarm System ® O Turn Off Power : ®O O® Rinse Surge Bowl 9 A Inspect Effluent Quality O H O Vacuum Weir and Filters V © 10 /O 10 )10 Wash Filters %me C Inspect/Replace Top GasketV. �/ Inspect/Replace Bottom , 7 10 Inspect alarm Sensors � OO O O Inspect Aerator 2 O ® O Turn Power On k/ CORRECTIONS RECOMMENDED: REPLACED FILTERS fl REPLACE EXPANDERS It COMMENTS TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY PH TEMP B.O.D. D.O. D.O. C.O.D. ___ FECAL COLIFORMS SETTLEABLE SOLIDS % J. SUSPENDED SOLIDS v`' � '"'-m LICENSE NUMBER .-ge:: SIGNATURE OF SERVICE OR REPAIRMAN �' WHITE/Health Dept. YELLOW/Billing File PINK/Maintenance Authorized Distributor For Schirmers Wastewater Treatment Systems, Inc. , vinui rp Fi g 951 Katydid Lane NE • St. Michael, MN 55376 • (612) 497-3566 AERATION EQUIPMENT SALES & SERVICE GENERAL INFORMATION OWNER 'c:)Ct.)VS3 11...-01."1..''' RESIDENT ADDRESS J 6)0 S t.--V47-1•11_14-AAV -Z ) 0.7-40,-12D COUNTY 4-1 0 DATE OF INSPECTION 19.._ ri--d-D RH NE 41 S'' a ) g/#2 UNIT INFORMATION ' TANK NO. I TYPE OF TANK 96/0 NO.OF MOTORS 1 SER.NUMBER O.) 7"a.,. CNECK LIST 2 O O (.-5- Item 2 Item Done Per. Specs. Need Attn: Take Nixed Liquor sample __g 1 5 LO f1 OO O O O Cheek Alarm System ® ,_,0 Turn Off Power v 4 Rinse Surge Bowl 4 O AO� Inspect Effluent Quality � G1..*14170_ O 10 0 B O Vacuum Weir and Filters ©O C\ 1) Wash Filters .- SA.014) Inspect/Replace Top Gasket _ Inspect/Replace Bottom ✓ O O] ® O CO — Inspect alarm Sensors Inspect Aerator O O O 4 O Turn Power On CORRECTIONS RECOMMENDED: REPLACED FILTERS # 1 C? 1.M -�*, , REPLACE EXPANDERS # COMMENTS TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY PH TEMP B.O.D. D.O. D.O. C.O.D. ___ FECAL COLIFORMS SETTLEABLE SOLIDS % ZO SUSPENDED SOLIDS � �-' �'"" LICENSE NUMBER 349,.5 SIGNATURE OF SERVICE OR REPAIRMAN WHITE/Health Dept. YELLOW/Blllfng File PINK/Maintenance Authorized Distributor For Schirmers Wastewater Treatment Systems, Inc. jT 1tuTI' Ftp 951 Katydid Lane NE • St. Michael, MN 55376 • (612) 497-3566 ;AERATION EQUIPMENT ;SALES & SERVICE GENERAL INFORMATION OWNER Di4O V S4'11RESIDENT ADDRESS ) &( !- •rtAL' ' . .`;)V--' ' C O COUNTY 140,444 DATE OF INSPECTION i a -51--$1,4 P1 E 4o'' )7c) UNIT INFORMATION TANK NO. I TYPEOF TANK 0 g U NO.OF MOTORS / SER NUMBER 7• / ',az— CHECK ,azCHECK LIST O O O (temPer, Specs, Need��Att�"ntt Done Take Hlxod liquor sample . .1.2kaflq O s O' O ®® Cheek Alarm System Turn Orr Power ®O I O® Rinse SurgoEff BowEffluent _4 l 1. A O B © Inspect Errluent Quality 5 Vacuum Weir and Filters CDC) /C\ ©© Wesh Filters In,poct/Replace Top Gasket 1napoct/Replace Bottom " / Inspect alarm Sensors ✓ O 7 ® ® 10 Inspect Aerator . O ® ® ® Turn Power On CORRECTIONS RECOMMENDED: REPLACED FILTERS is � t'" REPLACE EXPANDERS it c-oili•Mil • COMMENTS • • TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY PH TEMP _ B.O.D. D.O. D.O. C.O.D. _- FECAL COLIFORMS SETTLEABLE SOLIDS % / 5. SUSPENDED SOLIDS . 64 • LICENSE NUMBER SIGNATURE OF SERVICE OR REPAIRMAN WHITE/Health Dept YELLOW/Billing Flle, PINK/Maintenance ' Authorized Distributor For Schirmers Wastewater Treatment Systems, Inc. MUI TI,Fit 951 Katydid Lane NE • St. Michael, MN 55376 • (612) 497-3566 AERATION EQUIPMENT ,SALES & SERVICE GENERAL INFORMATION OWNER AL) ) 4,d--'C- 1' RESIDENT ADDRESS ) / 0. 4 \''< 2 ~ 6 l Q COUNTY 40 DATE OF INSPECTION L, —) c '--`9 c'7 PHONE H n 1` 17 9 UNIT INFORMATION TANK NO. / TYPE OF TANK /.)..<-J NO.OF MOTORS 1 SER NUMBER 0 , 1 / ;NS-- CHECK NS--CHECK LIST U O O O Item Done Per, Specs, Need Attn: Take Mixed Liquor sample Ori, O O O ) Cheek Alarm System O ® ('$ O Turn Off Power O ( O Rinse Surge Bowl O 9 Inspect Effluent Quality 5 5 Vacuum Weir and Filters © 10 �O^� 10 Nash Filters C Inspect/Replace Top Gasket i/ Inspect/Replace Bottom " O U Inspect alarm Sensors Av O ® Inspect Aerator OO ® O Turn Power On CORRECTIONS RECOMMENDED: REPLACED FILTERS II REPLACE EXPANDERS II . • COMMENTS TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY PH TEMP _ B.O.D. 0.0. D.O. C.O.D. _- FECAL COLIFORMS SETTLEABLE SOLIDS % i) SUSPENDED SOLIDS /04- :.' 44 ,/,‘ LICENSE NUMBER a SIGNATURE OF SERVICE OR REPAIRMAN WHITE/Health Dept. YELLOW/Billing File PINK/Maintenance Authorized Distributor For Schirmers Wastewater Treatment Systems, Inc. niuindFLg 951 Katydid Lane NE • St. Michael, MN 55376 • (612) 497-3566 AERATION EQUIPMENT SALES & SERVICE GENERAL INFORMATION OWNER --.011,)\ S[A'"<""c/ RESIDENT ADDRESS I C) b ' ti � — , 0-7'0 COUNTY 1-)*1.-I .=1 DATE OF INSPECTION 9 PHONE HOS - )r1 ) UNIT INFORMATION 0 !� TANK NO. 1 TYPEOF TANK r).{0 NO.OF MOTORS 1 SER.NUMBER 1-7—) (D, CHECK LIST U O O O Item Done Per. Specs. Need Attn: Take Mixed Liquor sample f LSU 1-\-V2O O Check Alarm System T O® ©O Turn Off Power `J Rime Surge Bowl ✓7 4 O OO Inspect Effluent Quality 7 (---) 7) Vacuum Weir and Filters © 10 /c\ Cl® Wash Filters Inspect/Replace Top Gasket f Inspect/Replace Bottom " VVVVvJ�/1111 �✓ O O O ® 1� ® Inspect alarm Sensors Inspect Aerator 2 O ® O Turn Power On CORRECTIONS RECOMMENDED: REPLACED FILTERS # REPLACE EXPANDERS # COMMENTS TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY PH TEMP — B.O.D. D.O. D.O. C.O.D. ___ FECAL COLIFORMS SETTLEABLE SOLIDS % GS SUSPENDED SOLIDS / v` LICENSE NUMBER —3c/ SIGNATURE OF SERVICE OR REPAIRMAN WHITE/Health Dept. YELLOW/Billing File PINK/Maintenance Authorized Distributor For • ' Schirmers Wastewater Treatment Systems, Inc. MULTI4FLD 951 Katydid Lane NE • St. Michael, MN 55376 • (612) 497-3566 AERATION EQUIPMENT SALES & SERVICE GENERAL INFORMATION OWNER 1)'1) 1 5 Gtr-^ "C RESIDENT ADDRESS 1 9 OS' 1-4 -IIA-L '' .- . 1 fa Y.0)..1 0 COUNTY 14 DATE OF INSPECTION • i °L— 1 .c"2 `6 PHONE y'.)S - I '7`e 2 UNIT INFORMATION . TANK NO, I TYPE OF TANK 0 4.5'13 NO.OF MOTORS ) SER.NUMBER 0 - ) .) P,S CHECK LIST U ® ® O Item Done Per. Specs. Need Attn: Take Mixed Liquor sample ✓ ZVt3t.l.} () ® O JO Check Alarm Systems 3 Turn Off Power V ® O L ® Rinse Surge Bowl 9 Inspect Effluent Quality /..A.;Val? ® 1 A o 6 9 ® Vacuum Weir and Filters -7 ©O /C\ Vt] ® Wash Filters �" 6 Inspect/Replace Top Gasket 1) inspect/Replace Bottom " V ® 1() Inspect alarm Sensors V ‘i:7OO ® ® Inspect Aerator �` 2 O ® O Turn Power On ./ CORRECTIONS RECOMMENDED: REPLACED FILTERS q REPLACE EXPANDERS II COMMENTS TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY PH TEMP _ B.O.D. 0.0. D.O. C.O.D. __ FECAL COLIFORMS SETTLEABLE SOLIDS % L- 5/ SUSPENDED SOLIDS (,) ve7 =:,-/e..""'-�-- LICENSE NUMBER 1 / SIGNATURE OF SERVICE OR REPAIRMAN WHITE/Health Dept. YELLOW/Billing Fite PINK/Maintenance