HomeMy WebLinkAboutCorrespondence - 369 SALEM STREET 5/16/2002 44 Cotnri,iercial Street
F ayriharrl, MA
02707
i
I'd: (508) 880-0200
Fax: (508) 880-7232
r
May 23, 2002
1
North Andover Board of Health
27 Charles Street
North Andover, MA 01845
Attention: Health Agent
Reference: Single Home FAST® Treatment System
Serial Number: SBF1.3
Attached please find the Field Inspection & Service Report (as required) for services
performed on 5/16/2002 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.
Si ,
net M. Whitman
Enclosures
Copy to: Amit Banerji
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
ONE WINTER STREET, BOSTON, MA 02108 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 Val&;oater�gi-w&n6,ze Jut-ricr� 9na.
Owner Name: Mail Address:
Amit BanerJi 44 Commercial Street,Raynham,MA 02787
Mail .address: 369 Salem Street TO(508)880-0233 Fax:(508)880-7232
North Andover,MA 01845 Telephone No.:
9785579154 Certified Operator`lame:/1- c
Telephone No.: �
DEP No.: Mfr. No.: SHF13 Cert.No.: 111-7?
Model No.: Installation Date: Start of Operation:
I G1�'U F�5"� 9/4/98
Approval Type: (Circle) Seasonal ence-used less than 6 mo./year: (Circle)
General Provisional Piloting Remedial Yes No
Operating Information
Previous Inspection Date: Inspectio Date,- Sludge Depth:(to be checked yearly) Pumping mended(Circle) I L
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: [ 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 ins ection. 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&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, NIA 02108
and DEP as follows for General Use - by September 30 o� f
each inspection performed:
each year for the previous 12 months
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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 FASTS System
INSTALLATION AUTHORIZED SERVICE PROVIDER
369 Salem Street
Installation Address North Andover,MA 01845
Owner Name Amit Banedi
Mail Address 369 Salem Street 44 Commercial street,Raynham,MA 02767
North Andover, MA 01845 Tel (6W)88G-0233 Fax:(tee)88G-7232
city State Zip
9785579154 __ _ __ 508-880-7232
Phone Fax e-mail Phone Fax e-mail
..r' NSI'1YII;ATIONINF'ORMAT19N
Model No. Serial No. Date of Installation Date of last pumpout
SHF 13 9/4/98
E UIPMENT .XE:S z NO: Ai`?CE
P)NRF;ORMEI)AND CQ,,
Electrical Panel(s)
Visual Alarm Operating
Audio Alarm Operating IV/
if resent
Blower(s)
Air Inlet Filter Clean
Blower Hood Vents Clear
Excessive Noise
Excessive Vibration
Treatment unit(s)
Unusual Odor G/
Pum out Required:
Primary Settling Zone 2�
Aerobic Treatment Zone
EFFLUENT(optional) LINUT RESULT
Estimated Daily Flow 4 Bedrooms
H(Standard Units) 6-9 S.U.
Color Clear
Temperature
Odor Slightly
musty odor
(not septic)
TECHNICIA SI NATURt SERVICE DATE