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HomeMy WebLinkAboutSchirmers Wastewater System Reports SCHIRMERS WASTEWATER TREATMENT SYSTEMS,INC Steven B Schirmers—951 Katydid Lane NE—St. Michael,MN 55376 schirmerswastewater.com sptesting.wastewater(u�comcast.net Cert.NO.627—(763) 497-3566 —FAX(763) 497-5011 State License#395 N ci'�) C,,\A,. -\(le--.?" General Information OWNER: GN11`-3 41N.A., 14k PROPERTY LOCATION: ADDRESS: I i a, 5 yNl-S,ii ' .srZ 1 't'*i` COUNTY: k 6,4,itsi:,„ PHONE: °I.5.)" ..,`" Li'l l M ) EMAIL: Unit Information TANK NO. TYPE OF TANK (oto 0 NO.OF MOTORS I SERIAL NO. (0,4014z, UV REQUIRED Check List Date of Inspection: ' a 3-)7 Date of Inspection: I, — l 3 Item Done Per.Specs Needs Attention Item Done Per.Specs Needs Attention Take Mixed Liquor Sample Brown VGray Black Take Mixed Liquor Sample V I/Brown Gray Black Check Alarm System Check Alarm System Turn Off Power Turn Off Power Rinse Surge Bowl Rinse Surge Bowl V; l Inspect Effluent Quality Clear \/Gray Inspect Effluent Quality V ✓ Clear Gray Vacuum Weir And Filters Vacuum Weir And Filters. VI Wash Filters 4Spray off Flushed off Wash Filters �r Spray off Flushed off Inspect/Replace Top Gasket \iV r. Inspect/Replace Top Gasket Inspect/Replace Bottom / Inspect/Replace Bottom , Inspect Alarm Sensors --t Inspect Alarm Sensors if Inspect Aerator Inspect Aerator Turn On Power V Turn On Power CORRECTION RECOMMENDED RECOMMENDED / "°'ov+'1" t,;,) ..L. of ICt!ti 61 SETTABLE SOLIDS — % UV SETTABLE SOLIDS JO % UV LAB TEST LAB TEST FECAL COLIFORMS FECAL COLIFORMS MONITORED DRAINFIELD MONITORED DRAINFIELD Dry i Ponding _ Depth H2O Dry_ Ponding i Depth H2O #t„---.----(1;, ,./,-- SIGNATURE OF SERVICE OR REPAIR MAN SIGNATURE OF SERVICE OR REPAIR MAN AUTHORIZED DISTRIBUOR 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) 497-3566 • FAX (763) 497-5011 State License #395 GENERAL INFORMATION OWNER CA-\''t ..i \L-"s 4< ( ^ %,f ii RESIDENT ADDRESS 1 ! `,?, r 0G_\ -5'S.';i •\,..V , r1( '_ \,1 COUNTY I4' "w'), `y DATE OF INSPECTION L. i!, , (.1`. PHONE r-',.'11"2-- •"' Li() ; ; "f.;':,1 k UNIT INFORMATION TANK NUMBER 1 TYPE OF TANK L,D s-\ NO.OF MOTORS • ) SERIAL NO. ';), t-V)' CHECK LIST ITEM DONE PER.SPECS. NEEDS ATTN: TAKE MIXED LIQUOR SAMPLE '1 \ O O , ' O O CHECK ALARM SYSTEM \ fr TURN OFF POWER O ® s 7.l (8 O i, RINSE SURGE BOWL v' EJ O O O a VACUUM WEIR AND FILTERS INSPECT EFFLUENT QUALITY \ 4� '- `` ®O I V O • O WASH FILTERS ..: 10 O INSPECT/REPLACE TOP GASKET \/ 6 1O O INSPECT/REPLACE BOTTOM" V. O y "'C..; INSPECT ALARM SENSORS V�, " INSPECT AERATOR OO ® O 10 TURN ON POWER 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. V FECAL COLIFORMS SETTABLE SOLIDS % P,`a SUSPENDED SOLIDS e; LICENSE NUMBER Z(\,/:•%4 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) 497-3566 • FAX (763) 497-5011 State License#395 GENERAL INFORMATION OWNER LN1 1 4° 's 1-'`1,,,„+ ;ia RESIDENT ADDRESS 11 a, s La a.,,1.1' ,. " "F,- I criF .1 g:? COUNTY 1-1 ,,./.- DATE OF INSPECTION 1?-„- a„5 ---'(3 q PHONE 9.52. - 9 0 Z ce 3c)9. UNIT INFORMATION TANK NUMBER ) TYPE OF TANK 60 0 NO.OF MOTORS - 1 SERIAL NO. ( ,,Li0')j CHECK LIST ITEM DONE PER.SPECS. NEEDS ATTN: TAKE MIXED LIQUOR SAMPLE ✓ 0�� U 0 0 CHECK ALARM SYSTEM J ,; 2 TURN OFF POWER 3 O :(i O O RINSE SURGE BOWL ✓ OO V O INSPECT EFFLUENT QUALITY ‘„I t,�,<-y4; VACUUM WEIR AND FILTERS OO " I In O I' WASH FILTERS 5 INSPECT/REPLACE TOP GASKET J (-E 1O /O� 1O INSPECT/REPLACE BOTTOM" V © C %IIIi INSPECT ALARM SENSORS "l ';i' '. INSPECT AERATOR y// ✓ .,.OO ® O 10 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 D.O. B.O.D. - , C.O.D. D.O. SETTABLE SOLIDS % 3cJ FECAL COLIFORMS JDOe „,' SUSPENDED SOLIDS �, ”' ti--- -Y�e ,,,,,,,A,:-,_ ..,,, .,.rte, SIGNATURE OF SERVICE OR REPAIRMAN LICENSE NUMBER v I. 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 RESIDENT ADDRESS 11 ?, ►"L)1-1-5V ( 1 ) COUNTY 1-)c,1.) .. . DATE OF INSPECTION LE'- 7,0 -C2r7 PHONE_ -T e .jT"-1 UNIT INFORMATION TANK NUMBER TYPE OF TANK (i)00 NO.OF MOTORS ) SERIAL NO.6,,t7101)(47 CHECK LIST ITEM DONE PER.SPECS. NEEDS ATTN: U 0' O TAKE MIXED LIQUOR SAMPLE Vl No O 8 O O O ) CHECK ALARM SYSTEM V O O rpt TURN OFF POWER 5 O I OO RINSE SURGE BOWL / INSPECT EFFLUENT QUALITY / 7�..1-°";=F`�'i 0 0 VACUUM WEIR AND FILTERS , O 6 1O - \ CO INSPECT/REPLACE TOP GASKET 1 C INSPECT/REPLACE BOTTOM" . INSPECT ALARM SENSORS vl,f'' 1 OO 1 INSPECT AERATOR L OO ® ® TURN ON POWER O ® O 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 % S SUSPENDED SOLIDS 1 ' LICENSE NUMBER SIGNATURE OF SERVICE OR REPAIRMAN AUTHORIZED DISTRIBUTOR FOR - MULTI-FLO - AERATION EQUIPMENT SALES AND SERVICE `CHIRMERS WAST'EWAT'ER 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 G1--.14- ti) ' �a�, , ,IS,. "' ,'S/ RESIDENT ADDRESS t j " S } \"5i- - °4.;.'03", f O' - 11 (.) COUNTY 1.1 DATE OF INSPECTION Lo m G?1) PHONE Ctc. —4-)3 _ 3 39 9 UNIT INFORMATION TANK NUMBER / TYPE OF TANK 00 NO.OF MOTORS / SERIAL NO. ,4 CHECK LIST ITEM DONE PER.SPECS. NEEDS ATTN: TAKE MIXED LIQUOR SAMPLES ; �„� OO ! O 0 CHECK ALARM SYSTEM O (7l O ) TURN OFF POWER °--• Af® ® ® RINSE SURGE BOWL v INSPECT EFFLUENT QUALITY V� «- _ "r . IBOVACUUM WEIR AND FILTERS A O LJ WASH FILTERS °'" ©10 /�� 10 O INSPECT/REPLACE TOP GASKET ' INSPECT/REPLACE BOTTOM" INSPECT ALARM SENSORS O O ® ® 1. INSPECT AERATOR ✓ TURN ON POWER 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 % SUSPENDED SOLIDS :;.,. d r te' LICENSE NUMBER 3 ci. SIGNATURE OF SERVICE OR REPAIRMAN AUTHORIZED DISTRIBUTOR FOR - MULTI-FLO - AERATION EQUIPMENT SALES AND SERVICE . i Authorized Distributor For Schirmers Wastewater Treatment Systems, Inc. f , �ff[11T114 Flu 951 Katydid Lane-NE • St. Michael, MN 55376 • (763)497-3566 *AERATION EQUIPMENT FAX (763) 497-5011 SALES & SERVICE GENERAL INFORMATION OWNERON(,S F�G�\-1 'Yr_c)' RESIDENT ADDRESS \\\,"r-S u"-VC--C K n Con,,^ COUNTY E.(v-°+ DATE OF INSPECTION • Gn- - im Z PHONE 493- /9(21 UNIT INFORMATION TANK NO. TYPEOFTANK Cp 9 NO.OF MOTORS SER.NUMBER G""1- CHECK LIST OItem Done Per, Specs. Need Attnt �>Take Mixed Liquor sample ,( c t'4).,�,,rN OvO � OOCheCk Alarm System T ® ®Turn Off Pa+er � ®OIO®Rinse Surge BowlQ,; ^Inspect Effluent Quality �"\ i ( vCI O CjONatrium Flair And Fi•lters J 10 / \ 1� Hash Filters , •_+ C Inspect/Replace Top Gasket y/ inspect/Replace Bottom " IOO ® 9 10 Inspect alarm Sensors O ® Inspect Aerator • 0 ® 5 O Turn Power On a 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 % VI- SUSPENDED SOLIDS y. a---. / '" ''"' --- -7 en (..- LICENSE NUMBER l� SIGNATURE OF SERVICE OR REPAIRMAN Y .. ( ~ rr 9 / WHITE/Health Dent. YELLOW/BIIIIng File PINK/Maintenence Authorized Distributor For Sc irmers Wastewater Treatment Systems, Inc. r�L irp rif 951 Katydid Lane NE • St. Michael,MN 55376 • -763) 497-3566 ( ) •AERATION EQUIPMENT FAX (763) 497-5011 SALES & SERVICE GENERAL INFORMATION OWNER C21"1(16 4' c\1 y \)e-cc y RESIDENT ADDRESS \\, \-\`.lt"4-e,c c1fgCNQ COUNTY \A e- ANN DATE OF INSPECTION ''i C"At (4, PHONE UNIT INFORMATION Co"'ANK NO. 1 TYPE OF TANK p NO.OF MOTORS SER.NUMBER tt'4 CHECK LIST Item Done Per. Specs. Need Attn: �, O 1 O Take Nixed liquor sample f'sillAuf 3 O Cheek Alarm System Cl)(u7O Turn Off Power 8 Rinse Surge Bowl ®® �0 4 9 ) Inspect Effluent Quality ° O I B _1 _ ,� �0 10 0 Vacuum Weir and Filters 0 10 O Wash Filters C Inspect/Replace Top Gasket Ins tx`ct/Replace Bottom Inspect alarm Sensors a / ® ® Inspect Aerator ✓ 6 O O ® O Turn Power On CORRECTIONS RECOMMENDED: REPLACED FILTERS It REPLACE EXPANDERS It COMMENTS TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY PH TEMP D.O.D. D.O. D.O. C.O.D. FECAL COLIFORMS- SETTLEABLE SOLIDS 96 4%.:J SUSPENDED SOLIDS C5C 6 SIGNATURE OF SERVICE OR REPAIRMAN LICENSE NUMBER WHITE/Health Dept. YELLOW/Billing File PINK/Maintenance b M111111•F10 A Division of Consolidated Treatment Systems,Inc. INSTALLATION REPORT DATE INSTALLED .-9- 0.5; GPD SIZE Ga) SERIAL # - �C (11c. OWNER/USER Y-Ne.�l t�eC(., PHONE # ADDRESS: Street `t1\AC\ ( City<j((,)c ..;, County C.t State &ANN.) Zip SSSS( LOCATION DIRECTION: "�°� ii,'t�N � t.c* ka v"\' i b! MULTI-FLO DEALER {Y 14.1 PHONE # r)(a3 - LFc3 7 -3S1.0(a, ADDRESS: Street 9 51 14- .,(',c,1 ^ City %. M1L1444'I L County 1i.Jle.41:14"' State M k) Zip S5S6 74414.1SVADO . � H' Th a elft S4 0, i4 ot O. APPROVING HEALTH DEPT. ADDRESS: Street City County State Zip SITE DATA TERRAIN: HILLY FLAT LOW TYPE OF DISCHARGE: SURFACE DIRECT. INTO SPRAY IRRIGATION RETAINED ON SITE SUBSURFACE # FT. FIELD LINES FACILITY DATA NO. BEDROOMS NO. FULL BATHS NO. HALF BATHS DISHWASHER GARBAGE DISPOSAL WATER SOFTENER ESTIMATED FLOW PER DAY OTHER DETAILS AND INFORMATION: (MT �jy1S�F�,�_. Eleoc t(c eft CS f l.( 0,.c.k trot' C� ELEVATION EFFLUENT DISCHARGE LAYOUT - AERIAL VIEW (Show Location of Facility of Plant Installation) ( It` IOr)1; HOUSE Al i', t'; �S Trash�ttiy tign._ 1 Ic'9°‘* r'4) )Sa" M,,,y, ,,O Please return to: Consolidated Treatment Systems, Inc. 1501 Commerce Center Drive Franklin, Ohio 45005 A Division of Consolidated Treatment Systems,Inc. (937) 746-2727, Fax: (937) 746-1446 • • Authorized Distributor For Schirmers Wastewater Treatment Inc. s,m ste S y �lytllinpriELa 951 Katydid Lane NE • St. (Michael, MN 55376 • (763) 497-3566 AERATION EQUIPMENT FAX (763) 497-5011- .SALES & SERVICE GENERAL INFORMATION OWNER C\, RESIDENT ADDRESS \\as \-\ dc\o \ Nf-"DATE OF INSPECTION �� ' jOUNTY PHONE UNIT INFORMATION • • TANK NO. TYPEOFTANK � NO.OFMOTORS SER.NUMBER GHQ() t � CHECK LIST O O Item Done Per. Specs. Need Attn: r•-•\ Tnke Mtxed Liquor sample _= c94*}.� 4 • 3 O Cheek Alarm System (, Turn Off Power ® 8 Bv Rinse Surge Bowl O O O Inspect Effluent Quality 5 a A Vacuum Weir and Filters 1� O© 10 ) Wash Filters © C\ Inspect/Replace Top Gasket Inspect/Replace Bottom " - ✓ O O ® O O 10 6 Inspect alarm Sensors r• O Inspect Aerator O O 4 O Turn rower 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 % SUSPENDED SOLIDS i LICENSE NUMBER SIGNATURE OF SERVICE OR REPAIRMAN • WHITE/Health Dept. YELLOW/Billing File PINK/Maintenance Authorized Distributor For 'Schirmers Wastewater Treatment Systems, Inc. titin .y ;FLa 951 Katydid Lif a i4E.• S€ Michael, MN 65376 • (763) 497-3566 • ;AERATION EQUIPMENT FAX (763) 497-5014 :SALES & SERVICE •GENERAL INFORMATION OWNER C1r� r S " %*e.\\1 RESIDENT ADDRESS \\• 1'i�A� 4(' v1` OCONct COUNTY MpN DATE OF INSPECTION • , -• PHONE UNIT INFORMATION • ' TANK NO. TYPE OF TANK GtO NO.OFMOTORS SER.NUMBER (1• oh • CHECK LIST Item Done ��Per.1Specs. Need Attn: Take Mixed Liquor sample 'c V (5)® O O O Chedk Alarm System ® Turn on Power O I O Rinse Surge Bowl O 9 /\ • p Inspect Effluent Quality 5 /-� L7 5 Vacuum Weir and Filters _ ® 1I- - " 1A Wash Filters C Inspect/Replace Top Gasket _ Inspect/Replace Bottom " ✓ . O O • Inspect alarm Sensors O O Inspect Aerator • ® Turn Power On CORRECTIONS RECOMMENDED: REPLACED FILTERS# • 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 r c; SIGNATURE OF.SERVICE OR REPAIRMAN • WHITE/Health Dept. YELLOW/Billing Fite PINK/Maintenance