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K Authorized Distributor For <br /> Schirmers Wastewater Treatment Systems, Inc. <br /> 951 Katydid Lane NE • St. Michael, MN 55376 • (763) 497-3566 .�>t��,�� <br /> AERATION EQUIPMENT <br /> FAX (763) 497-5011 SALES & SERVICE <br /> GENERAL INFORMATION <br /> OWNER V Nro 111q4,1-14-K:- "C \„.A4,.l RESIDENT <br /> ADDRESS 0.5 ) fir°! i"''^.1!" ) .,..A • t Q ).4) COUNTY 1-K' ,� <br /> DATE OF INSPECTION t - 1 ` . ,+ <br /> -t PHONE r)) -0I11 <br /> UNIT INFORMATION <br /> TANK NO. ) TYPEOFTANK /"D NO.OF MOTORS ) <br /> SER.NUMBER is •0i0,, <br /> CHECK LIST <br /> Item Do Per. Specs. Need Attn: 1 1 <br /> Take Nixed liquor sample t4tP7, ) 1_, . O' <br /> Check Alarm System t" /0(100 <br /> O O t C6O <br /> Turn Off Power <br /> Rinse Surge tlowl ® 8 <br /> Inspect Effluent Quality G4 �r ® a <br /> I O <br /> Vacuum Wetr and Filters O10 10 <br /> 5 <br /> Hash Filters "''''" �sr� M/f•: 6 �C\ O <br /> Inspect/Replace Top Gasket <br /> Inspect/Replace Bottom " V <br /> Inspect alarm Sensors �✓ O O ® ® 10 <br /> Inspect Aerator . O 6 <br /> Turn Power On 2 O O O O <br /> CORRECTIONS RECOMMENDED: <br /> ' )1. - 1 1- REPLACED FILTERS # <br /> "i�1 REPLACE EXPANDERS It <br /> 1'OOL.,, • ovv-c- . 53°`OLA. COMMENTS <br /> TESTING INFORMATION <br /> IN FIELD TESTS TESTS IN LABORATORY <br /> PFI TEMP— <br /> D.O. B.O.D. <br /> C.O.D. D.O. <br /> SETTLEABLE SOLIDS % FECAL COLIFORMS <br /> SUSPENDED SOLIDS <br /> SIGNATURE OF SERVICE OR REPAIRMAN LICENSE NUMBER '1 .i <br /> WHITE/Heailh Dept. YELLOW/Bluing Flle PINK/Malnlenance <br />