EMC - City of Valley Grande Maintenance Log Checklist R3

• Audit Title

• Time In

  Date

• Time Out

  Date

• Prepared by

• Location
  Address

• Document No. F10041 Rev 1/2017 DED

• Instructions:
  -------------------------------------
  1. Answer "Yes" or "No" for the questions below.
  2. Add photos and notes by clicking on the paperclip icon.
  3. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
  4. Complete audit by providing digital signature.
  5. Share your report by exporting as PDF, Word, Excel or Web Link.

Maintenance Log Checklist

• "Nitrification Tower Transfer Pump<br>Operational ?"

  YES

  NO

• Nitrification Tower Diffusers Cleaned ?

  YES

  NO

  NOT NEEDED

• Chlorine Contact Chamber Cleaned? (Every Visit)

  YES

  NO

• Blowers Operational

  YES

  NO

• Air Diffusers Cleaned ?

  YES

  NO

  NOT NEEDED

• Both Effluent Pumps Operational ? (Every Visit)

  YES

  NO

• Chlorine/Dchlor Tablets Replenished? (As Needed)

  YES

  NO

  NOT NEEDED

• Effluent Pumps #1 Hours

• Effluent Pumps #1 In Good working order?

  Good Working Order

  Needs Attention

• Effluent Pumps # 2 Hours?

• Effluent Pumps # 2 In Good working order?

  Good Working Order

  Needs Attention

Quality Control Test

• Ammonia Level:

• Test Strips used or Kit (Choose one from the dropdown list)

  Test Strips

  Kit

• Aeration Basin pH: (General Rule pH 7.5-8.0)

• <br><br>Samples Collected?

  YES

  NO

• Effluent pH - S.U.

• Effluent D.O. - mg/l

• Effluent CI2 - mg/l

• Flow - MGD

ADDITIONAL NOTES

COMPLETION

• Signed By

  Sign