Highland Tank Ultra Clear, Service Manual, Page: 6 / 6

Page 6 of 6
UCSM 144 29/09/2020
Local Council AWTS Service Report
Ultra Clear Wastewater Treatment Systems
Owner’s Name:
Local Council:
Installation Address:
System Brand & Model:
 Domestic  Commercial
Date of this service:
/ / Date of last Service:
/ / Next service due:
/ /
Has the ULTRA CLEAR AWTS been serviced in accordance with the manufacturer’s / supplier’s requirements and using the service
sheet?  Yes  No
If “No” why?
ULTRA CLEAR AWTS functioning correctly?  Yes  No
If “No” why?
According to sludge-judge or other methodology is de-sludging needed?  Yes  No
If “Yes” what action is recommended?
Offensive odours?
 Yes  No If “Yes” what action is recommended?
Alarms
tested and functional?  Yes  No If not “functional” what action is recommended?
Final Effluent Quality
Tested?  Yes  No
Disinfected?  Yes  No
Chlorine tablets remaining?  Yes  No
Quality?  Satisfactory  Unsatisfactory
On what evidence is this judgment made? If “Unsatisfactory” what action was recommended?
Land Application Area
Surface ponding?  Yes  No
Run off?  Yes  No
Excess plant growth?  Yes  No
Effluent leaving premises?  Yes  No
High risk areas contaminated?*  Yes  No * Patio, play areas, BBQ, etc
Operating satisfactorily?  Yes  No
Overall Condition of ULTRA CLEAR AWTS?  Excellent  Good  Fair  Poor
Comments / Action Recommended / Repairs Needed / Repairs Performed:
Has the owner / occupier taken recommended actions?
 Yes  No
Service Agent:
Contact Details:
Signature:
Date: