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Home My WebLink AboutCorrespondence - 369 SALEM STREET 11/29/2001 44 Corrrrrrerc cal ;street Rayriharn, M 02°x`67 'Tel: (808) 880-0233 F°'ax: (508) 880-1232 December 17, 2001 North Andover Board of Health 27 Charles Street North Andover, MA 01845 Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: SBF13 Attached please fmd the Field Inspection& Service Report (as required) for services performed on 11/29/01 at the home of Amit Banerji located at 369 Salem Street-North Andover, MA. Please call if you have any questions or require additional information. S erely, et M. Whitman Enclosures Copy to: Amit Banerji : cmta HL COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS quo DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617.29'2.5500 DEP Approved Inspection and O&NI Form for Title 5 UA Treatment and Disposal Systems Installation Authorized Service Provider Installation Address: 369 Salem Street: O&M Firm: North Andover M`°' �(Jastrcuater�J�i�bneizG Jav�icea% ,�ie�. Owner Name: Mail Address: Amit Banerji 44 Commercial Street,Raynham,MA 02767 Mail Address: 369 Salem Street Tel:(eo8)880.0233 Fax:(sob)680.7232 North Andover, MA 01845 Telephone No.: 9785579154 Certified Operator Name: ,� Telephone No.: 4 , DEP No.: 'Mfr. No.: SHF13 Cert. No.: P-�� Model No.: Installation Date: Start of Operation: i Lro F14 5 9/4/98 Approval Type: (Circle) Seasonal Bence—used less than 6 mo./year: (Circle) General Provisional Piloting Remedial Yes No Operating Information Previous Inspection Date: Inspection Date: Sludge Depth:(to be checked yearly) Pumping Recommended(Circle) Yes No Effluent Description: Attach copy of certified lab results. Check all that are required Samples: Influent Effluent Parameters: pH BOD TSS TN Other Other Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: Notes and Comments: I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached manufacturer's 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 CNIR 2.00./ Operator Signature Date System owner must submit Remedial Use-by January 31"of Department of Environmental this report, manufacturer's each year for the previous calendar Protection O&M checklist, and any year Attn: Title 5 Program required sampling results Piloting & Provisional Use • within One Winter Street, 6'" Floor 3O days of inspection date to the local Board of Health Gene al Use- by September 30" of Boston, LNIA 02108 General and DEP as follows for each year for the previous 12 months each inspection performed: 5/1/01 i t ' 1111 Q ill 111111 q 111 1 I I I 1 INCORPORATED 8450 Cole Parkway ■ Shawnee, KS 66227■Phone 913-422-0707■ Fax: 912-422-0808 e-mail: onsite biomicrobics.com ■www.biomicrobics.com ■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 369 Salem Street Installation Address North Andover, MA 01845 �i�s�"ecuate�9� in�eo�uwice�, ,9�. Owner Name Amit Baner'i Mail Address 369 Salem Street 44 Commercial Street,Raynham,MA 02767 North Andover, MA 01845 Tel:(508)880-0233 Fax:(508)880-7232 city State Zip 9785579154 -- 508-880-7232 Phone Fax e-mail Phone Fax e-mail `' :r:1NSTALYATTON INFORMATION . Model No. Serial No. Date of Installation Date of last pumpout E UIPMENT `. SHF13 9/4/98 ' YES ..;; h;;:NO ''` MAINTENt1NCE PERFORMED RIND CQ, Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if resent Blowers Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment unit s' Unusual Odor Pum out Required: Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LUMT RESULT Estimated Daily Flow 4 Bedrooms H(Standard Units) 6-9 S.U. Color Clear Temperature Odor Slightly musty odor (not se tic) TECHNICIAN SIGNATURE SERVICE DATE 1 .Z