EMC - City of Valley Grande (Overlook Hills) Checklist Form

• Document No. F10041 Rev 1/2017 DED

• Audit Title Maintenance Log Checklist

• Client / Site City of Valley Grande (Overlook Hills)

• Conducted on

  Date

• Prepared by

• Location
  Address

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

  Yes

  No

  N/A

• Nitrification Tower Diffusers Cleaned ?

  Yes

  No

  N/A

• Chlorine Contact Chamber Cleaned ?

  Yes

  No

  N/A

• Blower Operational ?

  Yes

  No

  N/A

• Air Diffusers Cleaned ?<br>

  Yes

  No

  N/A

• Both Effluent Pumps Operational ?

  Yes

  No

  N/A

• Chlorine Tablets Replenished ?

  Yes

  No

  N/A

• DeChlorine Tablets Replenished ?

  Yes

  No

  N/A

• Effluent Pumps #1 Hours

• Effluent Pumps #1 In Good working order?

  Good Working Order

  Needs Maintenance

• Effluent Pumps # 2 Hours?

• Effluent Pumps # 2 In Good working order?

  Good Working Order

  Needs Maintainance

Quality Control Tests

• Ammonia Level - Test Equipment

  Test Strips

  Kits

• Ammonia Level

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

• Effluent pH Level (S.U.)

• Effluent D.O. (mg/l)

• Effluent CI2:

• Flow: (MGD)

Comments

• The following maintenance needs to be performed

  Select Needs Chlorine Needs DeChlorine Nitrate tower needs maintainance Pipes are leading pipes are broken Other - complete comments section

  • Needs Chlorine
  • Needs DeChlorine
  • Nitrate tower needs maintainance
  • Pipes are leading
  • pipes are broken
  • Other - complete comments section

• Additional Information