HomeMy WebLinkAbout10-06-2021 Septic Inspection ReportM S T S
A division of WRM Services Inc
October 7, 2021
Zedenko Grajcar
80 Luce Line Ridge.
Orono, MN. 55359
9075 155"' Street.
KIMBALL, MN 55353
(320) 398-2705
As per state requirements and our 2021 service contract, your Multi-flo treatment plant
was serviced twice in 2021. Please find the attached service reports and a service contract for
2022. If you wish to have us continue our service, please sign the attached contract.
If you have any questions, please call me. I can be reached at (320) 398-2705, or on my cell
phone at (320) 980-1737.
Thank You,
Bernie Miller
Miller's Sewage Treatment Solutions
MULTI-FLO
SERVICE/INSPECTION FORM
Name of Owner: Zedenko Grajcar Serial Number:
Name of Resident (if different than owner)
Address: _80 Luce Line Ridge.
City: _Orono County:
Phone: (home)
(x) Residential ( ) Commercial
_Hennepin
State: _MN
(business)
Warranty
REASON FOR SERVICE CALL: (x) Routine ( ) Owner Request
( ) Alarm Activated ( ) Sewer Back-up
( ) Septic Odor ( ) Poor Effluent Quality
( ) High Water Level ( ) Other:
Date of Service: 6/29/21; 10/6/21
INSPECTION RESULTS:
I. Checked ALARM (x) YES
(x) Alarm Working Properly
Checked AERATOR (x) YES
(x) Aerator Working properly
( ) No Aerator
( ) Aerator runs intermittently
( ) Clogged Impeller
( ) NO
( ) Faulty Alarm
MEM
Zip: _55359_
(x) Service Contract
) Complaint
( ) Aerator not running
( ) Insufficient air supply
( ) Blockage in air supply line
( ) Comments:
III. Checked AERATION CHAMBER (x) YES ( ) NO
(x) Brown (x) Clear () Grey/Black (Septic)
( ) White Suds ( ) Brown Foam () Overflowing
% Settled Solids = 30%
Odor: (x) None ( ) Slight () Septic
IV. Checked FILTERS (x) YES ( ) NO
Filter condition: (x) Normal (no change in water) ( ) Slight restriction (level rises & falls)
( ) Filters plugged (level remains high) ( ) Filter (s) torn
Solids build-up on filter hanger plate: ( ) None (x) Slight — %" ( ) W-1" ( ) > 1"
Surface scum build-up: (x) None ( ) Slight ( ) Heavy
Effluent quality = (x) Clear () Turbid () Septic/grey
V. Checked SURGE BOWL (x) YES () NO
(x) Gasket (top/bottom) in good condition () Gasket (top/bottom) missing or deteriorated
SERVICE OR REPAIR PERFORMED: Date Performed: _6/29/21; 10/6/21_
( ) Pumped Multi-Flo/Pre-tank ( ) Cleaned filters
( ) Replaced filters Warranty: ( ) YES ( ) NO
( ) Replaced aerators Warranty: ( ) YES ( ) NO
( ) Repaired alarms Warranty: ( ) YES ( ) NO
( ) Replaced expanders Warranty: ( ) YES ( ) NO
( ) Replaced gasket: () Bottom () Top
(x) Flush weir/pump out filters
( ) Peripheral Equipment (i.e. Pumps, Chlorinator, etc.):
( )
Other: (describe)
(x) Service Work To Be Performed At A Later Date: Will be looking to pump all tanks in
2022
( ) Additional Comments: _
Service Performed By: Miller's Sewage Treatment Solutions
Authorized MULTI-FLO Service Representative
GRAJCAR
Ordered By: MILLER'S SEWAGE
TREATMENT SOLUTIONS
Sampled By: CHRIS - MILLER'S SEWAGE
TREATMENT SOLUTIONS
Reason For Test: FECAL
Received on Ice: Yes
File #: 64245
Date/Time 10/6/2021 2:50 PM
in Lab:
Date/Time Sampled: 10/06/2021 1021
Sample Temp: 10.4 o C
METHOD: FECAL COLIFORM, MPN-SM 9223 B (COLLILERT QUANTI-TRAY) 21ST ED
1997
SAMPLE LOCATION DATE & TIME RESULT
OF ANALYSIS
Effluent
Notes:
10/06/2021 1500 185.0 MPN/100 mL
The test results are only indicative of the sample tested from the sample point on the date collected.
This report must not be reproduced, except in full, without the written approval from Water Laboratories, Inc.
Minnesota Certification# 027-141-110, Wisconsin Certification #399044470
Amount Billed:
t
Signature: Date Paid:
Amount Paid:
Date Completed: 10/07/2021
Received By KK Entered By TJ Edited By TJ