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SCHIRMERS WASTEWATER TREATMENT SYSTEMS,INC <br />Steven B Schirmers — 951. Katydid Lane NL — St. Michael, MN 55376 <br />schirmerswastewater.com <br />s testin .wastewater(i4comcast net <br />Cert.NO.627 — (763) 497-3566 — FAX (763) 497-5011. <br />State License #395 <br />General Intormation <br />OWNER: �Q 8JA;;�?- -i- { � (,) 65A ,40 {q PROPERTY LOCATION: <br />ADDRESS: 30 G� I �� til 0 0� O <br />COUNTY: <br />PHONE: _ G <2 - 7 — O 1 L) EMAIL: <br />Unit Information <br />TANK NO. TYPE OF TANK_ Z22E? -NO. OF MOTORS � <br />a SERIAL NO. r `t' -A, i UV REQUIRED <br />Che---- ck List <br />Date of Inspection: _ C; 10- - --) e) <br />Item <br />Take Mixed Liquor Sample <br />'i Alarm S.ystcm <br />—.-a Off Power <br />Rinse Surge Bowl <br />Inspect Effluent Quality <br />Vacuum Weir And Filters <br />Wash Filters <br />Inspect/Replace Top Gasket <br />Inspect/Replace Bottom <br />Inspect Alarm Sensors <br />Inspect Aerator <br />Turn On Power <br />Done Per. Specs Needs Attention <br />Brown <br />✓ Clear <br />�, _Spray off <br />CORRECTION RECOMMENDED <br />Gray Black <br />Gray <br />Flushed off <br />Date of Inspection: <br />Item <br />Take Mixed Liquor Sample <br />Check Alarm System <br />Turn Off Power <br />Rinse Surge Bowl <br />Inspect Effluent Quality <br />Vacuum Weir And Filters. <br />Wash Filters <br />Inspect/Replace Top Gasket <br />Inspect/Replace Bottom <br />Inspect Alarm Sensors <br />Inspect Aerator <br />Turn On Power <br />Done Per. Sperms <br />. \ ' Brown <br />t: r vClear <br />t/ <br />Spray off <br />CORRECTION RECOMMENDED <br />SETTABLE SOLIDS) % UV SETTABLE SOLIDS u <br />ALT bll7 /o UV <br />,LAB TEST <br />FECAL COLIFORMS FECAL COLIFORMS <br />Needs Attention <br />Gray Blacl <br />MONITORED DRAINFIELD MONITORED DRAINFIELD <br />Dry Ponding _ Depth HZO <br />l � Dry_, Ponding _ Depth H2O <br />� --%4ATURE OF SERVICE OR REPAIR MAN <br />SIGNATURE OF SERVICE OR REPAII2 MAN <br />AUTHORIZED DISTRIBUOR FOR MULTI-FLO AERATION EQUIPMENT SALES AND SERVICE <br />Flushed off <br />