HomeMy WebLinkAboutCorrespondence - 369 SALEM STREET 5/11/2004 . . -.. -.--.�� ....�-�. ,w,w,�www,m�._......_... .WWWWw.....W..-.. .....o.-�..,,mw�., 44 CcrTrdnepci ! Street
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May 19, 2004 °
01� IV-
North Andover Board of Health
27 Charles Street
North Andover, MA 01845
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Attention: Health.Agent
Reference: Single Home FAST® Treatment System
Serial Number: SBF13
Attached please find the Field Inspection& Service Report(as required) for services
performed on 05/11/2004 at the property of Amit Banerji located at 369 Salem Street-
rv .
North Andov6r, 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
Massachusetts Department of Environmental Protection
LlBureau of Resource Protection - Title 5
D P Approved Inspection and O&M Form for Title 5 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
cursor-do not 01845
use the return City Zip
key. Mailing address of owner, if different:
Q369 Salem Street
Street Address/PO Box:
North Andover MA 01845
"a"' City State
Zip
(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
06/11/2004
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-5/19/04 Page 1 of 2
Massachusetts Department of Environmental Protection
LL DEP Bureau of Resource Protection - Title 5
Approved Inspection and O&M Form for Title 5 I/A
Treatment and Disposal Systems
2715
E. Sampling Information
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 05/11/2004
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
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-5/19/04 Page 2 of 2
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1
PIN 0RPUNATrn
8450 Cole Parkway w Shawnee, KS 66227 ro Phone 913-422-0707 m Fax: 912-422-0808 2715
e-mail: onsite()biomicrobics.com m www.biomicrobics.com w 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 T Date of last pump out
Single HomeFAST.9 SHF13 09/04/1998
EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS
Electrical Panel s
Visual Alarhi Operating X
Audio Alarm Operating X
if p 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 05/11/2004