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Authorized Distributor For <br /> Schirmers Wastewater Treatment Systems, Inc. muiribrig <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 DCAVC,4' FCanCclC- D Gane.-/ RESIDENT <br /> ADDRESS 3o5 i 'FA(Ii(,14 Lane. Crono COUNTY VtLn" <br /> 4 <br /> DATE OF INSPECTION '".).Ci - PHSONE 4c)\- 0\\ I <br /> UNIT INFORMATION <br /> TANK NO._ ) TYPE OF TANK \O O O NO.OF MOTORS o" SER.NUMBER U)%'Z k <br /> CHECK LIST 2 10 ® 2 <br /> Item Done Per. Specs. Need Attn: <br /> Take Mixed Liquor sample I �(EM,1 O�O O O <br /> Check Alarm System <br /> Turn Off Power (-;\ 8 <br /> Rinse Surge Bowl O /� I ® <br /> Inspect Effluent Quality ✓ Char 5 �7 O (-4-) <br /> Vacuum Weir and Filters ✓ 6 10 / \ 10 <br /> Wash Filters O C <br /> Inspect/Replace Top Gasket V <br /> Inspect/Replace Bottom " ,� / OO ® O 10 O <br /> Inspect alarm Sensors J ✓ <br /> Inspect Aerator Y� O O ® O <br /> Turn Power On Y <br /> CORRECTIONS RECOMMENDED: REPLACED FILTERS # <br /> SYS+emsDry REPLACE EXPANDERS tt <br /> COMMENTS <br /> TESTING INFORMATION <br /> IN FIELD TESTS TESTS IN LABORATORY <br /> PH TEMP — B.O.D. <br /> D.O. D.O. <br /> C.O.D. ___ _� FECAL COLIFORMS <br /> SETTLEABLE SOLIDS % 4,1) SUSPENDED SOLIDS <br /> L 03P ,1%.--""" LICENSE NUMBER -3, <br /> SIGNATURE OF SERVICE OR REPAIRMAN <br /> WHITE/Health Dept. YELLOW/Billing Flle PINK/Maintenance <br />