Laserfiche WebLink
' Field Maintenance Re'"*?rt Form <br /> Person Calling: Operator Responding: <br /> Date/Time Called: Date/Time Responded: <br /> Address: Total Field Time: <br /> Phone: Total Travel Time: <br /> Service Calls Alarm Call Addendum <br /> i <br /> Type of System: Conditions Leading to Call <br /> Meter Readings(refer to ETM/CT Log&Worksheet) ❑Alarm ❑Tank Overflow <br /> Days Since Last Reading: ❑Odor ❑Surface Runoff <br /> Today's CT ❑Noise ❑Sewage Backup <br /> Today's ETM: ❑Other. <br /> Frequency(CT/Days): <br /> ❑Normal ❑High Cl Low Odor <br /> Duration(MinJCycle): Normal: ❑Musty ❑Earthy ❑Moldy <br /> ❑Normal ❑High ❑Low Pungent: ❑Sulfite ❑Cabbage ❑Decay <br />� Typical average daily flow: <br /> Date/Time Discovered: / <br /> Typical average weekly flow: Method of Detection: <br /> l Pump Test Alarm Pump <br /> Pump#1:Tank Pump ❑High Liquid Level ❑On <br /> Voltage at Rest: ❑Low Liquid Level ❑Off <br /> Voltage while Pumping: ❑Off <br /> Amps while Pumping: <br /> Tank Liquid Level Circuit Breaker <br /> Pumping Head(Ft.): ❑Normal ❑On <br /> Shutoff Head(Ft.): ❑High El Off <br /> Drawdown Time(Min.&Sec.): 17 Low 11 Tripped <br /> Drawdown Depth(Inches): <br /> Pump#2: Discharge Pump 11 Switched <br /> Voltage at Rest: Cause of Malfunction <br /> Voltage while Pumping: I Mechanical Physical or Process-Related <br /> Amps while Pumping: ❑Control Panel ❑Power <br /> Pumping Head(Ft.): ❑Pump ❑Back Pressure <br /> Shutoff Head(Ft.): j ❑Float Switch ❑Air Bound <br /> Odor ! ❑Screened Vault ❑Sludge&Scum <br /> Normal: ❑Musty ❑Earthy ElMoldy <br /> ❑Hose&Valve 11 Clog <br /> Pungent: ❑Sulfite ❑Cabbage ❑Decay ❑Check Valve ❑Infiltration/inflow <br /> ❑Building Sewer ❑Exfiltratlon <br /> Method of Detection: <br /> ❑Service Line ❑Siphoning <br /> Squirt Height: ❑Other: ❑Other: <br /> Valve Position at Departure <br /> Hose&Valve Assembly: ❑Open ❑Closed Repair. <br /> End of Laterals: ❑Open ❑Closed Replace: <br /> ControVAlarm Switch at Departure i <br /> MOA: ❑Manual ❑Off ❑Auto <br /> C8: ❑On ❑Off <br /> Repair: <br /> Replace: <br /> Observation: <br /> Action- <br /> Comment- <br />