HomeMy WebLinkAbout018-2019-70-000�1
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w a Service and Inspection Form
0 of 2`oc�� Knudtson Plumbing and Contracting Lt.0
This testing and reporting shall be completed, signed and dated after each inspection. One copy
shall be retained by Knudtson Plumbing and Contracting I.I.C. The second copy is sent to the
local permitting authority and the third copy is sent to the system owner along with an invoice
for services by Knudtson Plumbing and Cnntracting LLC.
SVStem IRsoectian of:
Owner.
Address
n .gyp
City, State, ZIP
Parcel #
Inspected item
Operational
inoperative
Not Appucable
Aerator
Aeration Plumbing
Air Fliter
Effluent Pump tional)
OK System tight
Air niter must oe cleaned each service visit. Operation of effluent disposal system must be made each
visit, including effluent pump operation and sprinkler operation/drip backwash.
Tests Required and Results
Test
Results
Test Method
Dissolved Oxygen
Sludge
Color
Odor
Temperature