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B <br /> 16002 W. 110th Street • Lenexa, KS 66219 • Phone: 913-422-0707 • Fax: 913-422-0808 <br /> e-mail: onsite@biomicrobics,com • www.biomicrobics.com • 800-753-FAST(3278) <br /> FAST' & LIXOR® <br /> FIELD INSPECTION & SERVICE REPORT <br /> FAST® Wastewater Treatment Systems <br /> INSTALLATION AUTHORIZED SERVICE PROVIDER <br /> Installation Address: el t3 Qc_ �,,-sg us, Name: <br /> Owner Name: L e,. M Gila J 6 Street: <br /> NAIiKF 1-2Ap7FR liVL- . <br /> Mail Address: <br /> Mail Address: AfIondabI3 Septic Systems <br /> 32948 Brewster Rd. <br /> City S State O CZip PCity hone LeF Ync tate,, r,T <br /> Phone Fax <br /> e-mail e-mail <br /> INSTALLATION INFORMATION <br /> Model No. Blower Brand and Serial No. Date of Installation Date of last pump-out <br /> Size <br /> 0•S 1a q-v11. M 5T-co:Asa9 5-act— tat <br /> EQUIPMENT DETAILED COMMENTS OF SITE CONDITIONS— <br /> OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED <br /> Electrical Panel(s) <br /> Visual Alarm Operating 02 <br /> Audio Alarm Operating cx. <br /> Blower(s): <br /> Air Inlet Filter Clean pc <br /> Blower Hood Vents Clear ok <br /> Excessive Noise <br /> Excessive Vibration aC <br /> Blower<100 ft from Unit <br /> Airline less that 4—90's <br /> Wiring< 150 ft from source <br /> Treatment Unit(s): P y� <br /> Unusual Odor uL 1•� �, <br /> System Vent <br /> Pumpout Required: <br /> Primary Settling Zone pC <br /> Aerobic Treatment Zone oC <br /> EFFLUENT: LIMIT RESULT <br /> Estimated Daily Flow <br /> pH(Standard Units) 6-9 S.U. <br /> Color Clear <br /> Temperature <br /> Dissolved Oxygen(effluent) 2 mg/L <br /> Odor Slightly musty odor <br /> (not septic) <br /> OWNER SIGNATURE TECHNICIAN SIGNATURE SERVICE DATE <br /> Please send completed form by mail to the address above,FAX to 913-422-0808, <br /> or e-mail to onsite@biomicrobics-com <br />