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HomeMy WebLinkAboutCorrespondence - 369 SALEM STREET 8/26/2004 .......... 44 Comrnerdal Street RayMiai i, MA 02767 TO (508) 880-0233 Fax: (508) 880-723"? September 17, 2004 ED '---JiECEVV (DF p,��I)OVER North Andover Board of Health To TC)\N�� 27 Charles Street North Andover, MA 01845 Attention: Health Agent Reference: Single Home FAST@ Treatment System Serial Number: SUF13 Attached please find the Field Inspection & Service Report and test results (as required) for sQrvices,,performed on 08/26/2004 at the property of Amit Banerji located 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 Environmental Chemistry Environmental Services Site Assessment Site Sampling Quality Assurance Services Ati C 'Data Auditing C. RrY O R T 7 Q N CERTIFICATE OF ANALYSIS Wastewater Treatment Services,Inc. 44 Commercial Street REPORTED: 09/02/2004 Raynham, MA 02767 ORDER#: G0462990 COLLECTED BY: M.Dillen SAMPLE DATE: 8/26/2004 TIME: 8:00 DATE RECEIVED: 8/26/2004 LOCATION: 369 Salem St.,N.Andover,MA SAMPLE ID: Banerti Grab(SHF13) DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters LAB-ID#: 0462990-01 BOD SM 5210B 08/27/2004 mg/L 4 6.6 pH SM 4500 H+B 08/26/2004 S.U. 0-14 6.9 Phosphorus,Total SM 4500-P B/E 08/31/2004 mg/L 0.01 5.74 Solids, Suspended SM 2540 D 08/31/2004 mg/L 4 5.5 NA=Not Applicable ND=Not Detected Approved By: <' = Less Than La anager (//w Date' *' = Detection Limit Page 1 of t Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Massachusetts Department of Environmental Protection Bureau of Resource Protection L] ®Title 5 DEP Approved Inspection and O&M Form for Title I/A Treatment and. Disposal Systems 2715 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 "Lip (978 557 9154 ext. Telephone Number B. Authorized Service Provider Wastewater Treatment Services, Inc. O&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 Name&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 08/26/2004 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) — Pumping Recommended Yes X No Color: Clear Odor: None Effluent Description DEPMicroFASTnew.doc•9/17/04 Page 1 of 2 Massachusetts Department of Environmental Protection LlBureau of Resource Protection - Title,5 DEP Approved Inspection and O&M Form for Title'5 I/A Treatment and Disposal Systems 2715 E. Sampling Information Samples Taken:_Influent X Effluent Parameters sampled: X pH X BOD X TSS_TN X Other(list below) Phosphorus, Other 2 Other 3 Other 1 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 08/26/2004 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 31St 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•9/17/04 Page 2 of 2 1 INCORPORATED 8450 Cole Parkway Shawnee, KS 66227 Phone 913-422-0707 m Fax: 912-422-0808 2715 e-mail: onsite .biomicrobics.com www.blomicrobics.com M 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST(H) System INSTALLATION AUTHORIZED SERVICE PROVIDER 369 Salem Street Installation Address North Andover,MA 01845 Name Wastewater Treatment Services,Inc. Owner Name Amit Bane '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 SBF13 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 Clear Temperature Odor None Comments: TECHNICIAN SERVICE DATE Michael Dillen 08/26/2004