HomeMy WebLinkAboutCorrespondence - 369 SALEM STREET 11/13/2002 1
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.�.w�...�._�..__....._�... .__... . .._..-_�.�.. _�.....�.-, ._...... ,. 44 C;ornrncrcial Street
Raynharn, MA
02757
'Tel: (503) 880-0233 (
Fax: (508) 880-7232
November 22, 2002
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North Andover Board of Health
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27 Charles Street
North Andover, MA 01845
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 11/13/2002 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
I
Enclosures
Copy to: Amit Banerji
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
U0 DEPARTMENT OF ENVIRONMENTAL PROTECTION
ONE WINTER STREET, BOSTON, MA 0'2 108 617.292.5500
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 4�ase'e�uutr�5irer�tme�o�1luruicea✓ 9,�.
Owner Name: Mail Address:
Amlt Banerjl 44 Commerciai Street,Raynham,MA 02767
Mail Address: 369 Salem Street Tel:(sob)880.0233 Fax:(sob)880-7232
North Andover,MA 01845 Tele hone No.:
9785579154 Certified Operator Name: S� �C�Z
Telephone No.:
DEP No.. •Mfr.No.. SHF13 Cert.No.. -� J
Model No.: Installation Date: Start of Operation:
M i c,ro F14 S 1- 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)
j
Yes Nod
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 ins ected the sewage treatment and disposal system at the address above, have completed this report and the
attached manufa turer's ope ion and m tena a checklist, and the information reported is true, accurate, and complete as
of the time of th inspection. I a M s ch e s certified operator in accordance with 357 CNIR 2.00.
/ 3 0Z
erat Signature —' Date
System owner must submit Remedial Use-by January 3l"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, 61h Floor
to the local Board of Health 30 days of inspection,late
General Use-by September 30" of Boston, :)4A 02108
and DEP as follows for each year for the previous 13 months
each inspection performed:
5/1/0 1
INCORPORATED '
8450 Cole Parkway a 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
=13
369 Salem Street
Installation Address North Andover,MA 01845
4�a�recuate�.9�s�cunu�zG�l�uicr�,9� ---
Owner Name Amit Baner'i
Mail Address 369 Salem Street -, 44 commercial Street,Raynham,MA 02767
North Andover, MA 01845 Tel:(5o8I 880-0233 Fax;(508)880-7232
city State Zip -
9785579154 _ 508-880-7232
Phone Fax e-mail Phone Fax e-mail
, ST.
IL'ATIQIO,RIV�ATIbN MAR
syf' #�
Model No. Serial No. Date of Installation Date of last pumpout
SHF 13 9/4/98
EQUIPMENT .�.: r.: tiYES'r °NOL� ►?`L ? .
Electrical Panel s
Visual Alarm Operating i
Audio Alarm Operating Q
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 o tional LIMIT RESULT
Estimated Dailv Flow 4 Bedrooms
H(Standard Units) 6-9 S.U.
Color Clear
Temperature ,
Odor Slightly
musty odor
(not se tic)
TECHNI AN SIG)4ATU SERVICE DATE