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HomeMy WebLinkAboutCorrespondence - 369 SALEM STREET 11/11/2004 ........... ............ ......................... 44 Cornryierdal Street Flaynharn, MA 02767 "Fel: (508) 880-0233 Fax: (508) 880-7232 ........... November 18, 2004 9 2004 North Andover Board of Health 27 Charles Street North Andover, MA 01845 Attention: Health Agent Reference: Single Home FAST@ Treatment System Serial Number: SIV13 '69 Attached please find the Field Inspection& Service Report (as-required)'f6f'§&Ni- 10 performed on 11/11/2004 at the property of Amit Baneri'166aied at 369 Salem Street North Andover, MA. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Amit Banerji Massachusetts DEP - ..,,�.; :f` I N C 0'tl P 0'q"X fi E D 8450 Cole Parkway Shawnee, KS 66227 m'Phone 913-422-0707 m Fax: 912-422-0808 4368 e-mail: onsite biomicrobics.com to www.biomicrobics.com m 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTO System INSTALLATION AUTHORIZED SERVICE PROVIDER 369 Salem Street Installation Address North Andover,MA 01845 Name Wastewater Treatment Services,Inc. Owner Name Amit Baner'i Street Mail Address: Mail Address 44 Commercial Street 369 Salem Street Raynham, MA 02767 North Andover,MA 01845 City State Zip 508-880-0233 508-880-7232 Phone 978 557 9154 Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out Single HomeFAST.9 SHF13 09/04/1998 EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panel(s) Visual Alarm Operating X Audio Alarm Operating X if resent Blower(s) Air Inlet Filter Clean X Blower Hood Vents Clear X Excessive Noise X Excessive Vibration X Treatment unit(s) Unusual Odor Pum out Required: X Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 4 Bedrooms H Standard Units) Color N/A Temperature Odor None Comments: TECHNICIAN SERVICE DATE Michael Dillen 11/11/2004 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Appr©ate In sc an an-d $ dorm far Tale l p Treatment and Dii5i"'i ys er s 4368 A. Installation Important: Amit Banerji When filling out Owner forms on the computer,use 369 Salem Street only the tab key Facility Street Address to move your North Andover 01845 cursor-do not use the return City Zip key. Mailing address of owner, if different: 369 Salem Street Street Address/PO Box: North Andover MA 01845 ° City State -- Zip — ---- — – (978 557 9154 ext. Telephone Number B. Authorized Service Provider Wastewater Treatment Services, Inc. 0&M Firm 44 Commercial Street Street Address Raynham MA 02767 City State Zip (508)—880-0223 ext. Telephone Number Michael Dillen 11173 Certified Operator Name Certification Number C. Facility/System Information SHF13 Bio-Microbics, Inc. Single HomeFAST .9 DEP ID Manufacturer's Name&ID Model dame&Number 09/04/1998 Installation Date Start of Operation Approval Type: _General _Provisional _Piloting X Remedial Seasonal Residence—used less than 6 mo./year:_Yes X No D. Operating Information 11/11/2004 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended _Yes X No _Color: N/A Odor: None Effluent Description DEPMicroFASTnew.doc• 11/18/04 Pagel of 2 Massachusetts Department of Environmental Protection Bureau of Resource Protection,;- Title 5 DP ppr��e Inpe�tisnl and F" rrri fQr ire ~ 1% Treatment ypel , E. Sampling Information 4368 Samples Taken:_ Influent _Effluent Parameters sampled:_pH_BOD—TSS—TN_Other(list below) Other 1 Other 2 Other 3 Description of any maintenance performed since previous inspection &during this inspection: Cleaned Filter,,,Splash Recycle, Notes and Comments: F. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2,00. Michael Dillen 11/11/2004 Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January Piloting & Provisional Use- General Use—by September 31 st of each year for the within 30 days of inspection 30th of each year for the previous calendar year date previous 12 months Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston. MA 02108 DEPMicroFASTnew.doc- 11/18/04 Page 2 of 2