HomeMy WebLinkAboutCorrespondence - 369 SALEM STREET 8/25/2003 Corn nerdal Street
kayrihani, MA
02767
d ( 8) 80-0233
r" x: (5 t) 880.7232
September 10, 2003
North Andover Board of Health
27 Charles Street
North Andover, MA 01845
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Attention: Health Agent
I
Reference: Single Home FAST`S Treatment System
Serial Number: SHF13
Attached please find the Field Inspection & Service Report and test results (as required)
for services performed on 08/25/2003 at the property of Amit Banerji located 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
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Copy to: Amit Banerji
Massachusetts DEP
i
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COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
1W DEPARTMENT OF ENVIRONMENTAL PROTECTION
ONE WINTER STREET, BOSTON, MA 0'2108 617.292.5500
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
MA
Owner Name: Mail Address:
Amit 13anerjl 44 Commercial Street,Raynham,MA 02767
Mail Address: 369 Salem Street Tel:(5o6)66o-o233 Fax:I5o61 WO-7232
North Andover,MA 01845
-Telephone No.:
9785579154 Certified Operator Name:
Telephone No.: i
DEP No.: [,Mfr. No.: Cart.No.:
Model No.: Installation Date: Start of Operation:
M i Lro F14 S T� 9/4/98 i
Approval Type: (Circle) Seasonal ence-used less than 6 mo./year: (Circle)
General Provisional Piloting Remedial Yes No
Operating Information
Previous Inspection Date: M Sludge Depth:(to be checked yearly) Pumping Recommended(Circle) i
� Yes No
Effluent Description: Attach copy of certified lab results. /
Check all that are required
Samples: Influent Effluent yawl/
p J°
Parameters:, H OD � L TN 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 manufactur s o eration anjma' Icertifled checklist, and the information reported is true, accurate,and complete as
of the time of the i pectio I operator in accordance with 257 CMR 2.00.
Op t i a e Date
System owner m t submit Remedial Use—by January 3l"of Department of Environmental
this report, manufacturer's each year for the previous calendar Protection
O&.NI checklist, and any year Attn: Title 5 Program
required sampling results Piloting& Provisional Use - within One Winter Street, 6'" Floor
to the local Board of Health 30 days of inspection date � Boston, MA 02108
and DEP as follows for General Use—by September 30 of
each inspection performed: each year for the previous 12 months
5/1,01
Environmental Chemistry Environmental Services
Site Assessment ® Site Sampling
Quality Assurance Services Ana lytical Balance Data Auditing
C O R P O R A T 1 0 N
CERTIFICATE OF ANALYSIS
Wastewater Treatment Services, Inc.
44 Commercial Street REPORTED: 09/05/2003
Raynham, MA 02767 ORDER#: G0351096
COLLECTED BY: D. Koshiol SAMPLE DATE: 8/25/2003
TIME: 13:00 DATE RECEIVED: 8/25/2003
LOCATION: SHF 13 N. Andover SAMPLE ID: Banerji
Grab DESCRIPTION: WATER
RESULTS OF ANALYSIS
Test Parameters LAB-IDi{: 0351096-01
BOD SM 5210B 08/2712003 mg/L 4 11.6
pH SM 4500 H+B 08/26/2003 S.U. 0-14 7.0
Phosphorus,Total SM 4500-P B/E 09/03/2003 mg/L 0.01 4.32
Solids, Suspended SM 2540 D 08/27/2003 mg/L 4 12.0
NA=Not Applicable
ND=Not Detected Approved By:
C = Less Than Lab Manager ate
*' = Detection Limit
Page 1 of 1
Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225
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I N C 0 R P 0 R A T E 0
8450 Cole Parkway . Shawnee, KS 66227 ■Phone 913-422-0707 a Fax: 912-422-0808
e-mail: onsite(abiomicrobics.com .www.biomicrobics.com ■ 800-753-FAST(3278)
FIELD INSPECTION & SERVICE REPORT
For Bio-Microbics Single Home FAST® System
369 Salem Street
Installation Address North Andover,MA 01845 ` c�s�'eeuate .�i�� �lluuxa, 9rrc. .
Owner Name Amit Banerji
Mail Address 369 Salem Street 44 Commerdal Street,Raynham,tutu 02767
North Andover, MA 01845 Tee(soa)880-M33 Fax:(soe)880-7232
city State Zip
9785579154 _ ___ _ __ 508-880-7232
Phone Fax , _ e-mail b K a Phone Fax e-mail MAW
,1101 Model No. Serial No. Date of Installation Date of last pumpout
SHF13 9/4/98
E -
U�P� r,
Electrical Panel(s)
Visual Alarm Operatin
Audio Alarm Operating
if resent
Blower(s)
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 RESftf
Estimated Daily Flow Bedrooms
H(Standard Units) 6-9 S.U.
Color Clear
Temperature
Odor Slightly
musty odor
(not septic)
TRtWCLAN SIGNATURE SERVICE DATE