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Schirmers Wastewater Treatment Systems, Inc. 07f111114 FL 11 <br /> 951 Katydid Lane L•.St•..1'17f aifiel, NfN-'5578 ..(76-3).4746-66. :AERATION EQUIPMENT <br /> FAX (763) 497-5014 :$ALES & SERVICE <br /> .GENERAL INFORMATION • <br /> OWNER V4* (1. 1.14i4 LA •;t' - E.AA)0C= RESIDENT • <br /> ADDRESS 16 1 'F%► V VA,4 \ • N.,C 0 COUNTY t "t� tt- <br /> DATE OF INSPECTION L 1 1`f '` PHONE 90) <br /> UNIT INFORMATION • <br /> TANK NO. <br /> TYPEOFTANK. /000 NO.OFMOTORS 1 SER.NUMBERI- ` - • t <br /> • <br /> CHECK LIST <br /> T <br /> Item po Per. Svecs. Need Atter U 7 O <br /> Inks Mixed Liquor sample �2" ° '" O i O O ,.Th0 <br /> Cheek Alarm System r", <br /> O U <br /> Turn Off Power /� • B <br /> Rinse Surgo Bowl . ' O O A O O <br /> Inspect Effluent Quality '«71a'►17L-7 6 10 /0 © <br /> Vacuum Weir and Filters O C <br /> Wnsh Filters ..� V <br /> Inspoct/Replace Top Gasket � -- O O ® ® 190 <br /> 0 s <br /> Inspect/Replace Bottom " _..--. O <br /> Inspect alarm Sensors . <br /> Inspect Aerator • • O <br /> Turn Power On <br /> CORRECTIONS RECOMMENDED: REPLACED FILTERS# <br /> V0 1., ' 'C>» dri A 14- REPLACE EXPANDERS# <br /> V PrG.. SeVt 4.. < A-i'C"1 t .E v: . COMMENTS <br /> TESTING INFORMATION • <br /> IN FIELD TESTS TESTS IN LABORATORY <br /> • <br /> PH TEMP._ B.O.D. <br /> D.O. D.O. <br /> • <br /> C.O.D. _ FECAL COLIFORMS <br /> SETTLEABLC SOLIDS % 4.. SUSPENDED SOLIDS <br /> • <br /> r4r)L--- 0/4 ti; C.• -. ...,4,16, ,..,--'-' <br /> LICENSE NUMBER <br /> SIGNATURE OF SERVICE OR REPAIRMAN <br /> • <br /> WHITE/Health Dept. YELLOW/Billing File PINK/Maintenance <br />