HomeMy WebLinkAboutCorrespondence - 369 SALEM STREET 2/11/2003 1
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44 t.orriFnercoal Street
Ra rih rn, MA
0 767
1.el: (508) 880-02
Fax: (508) 880-7202
February 25, 2003
FEB 7
North Andover Board of Health `1
27 Charles Street
North Andover, MA 01845
Attention: Health Agent
Reference: Single Home FAST° Treatment System
Serial Number: SHF13
Attached please find the Field Inspection & Service Report (as required) for services
performed on 02/11/2003 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
Copy to: Amit Banerji
C^MMONWEALTH 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 I/A Treatment and Disposal Systems
Installation Authorized Service Provider
Installation Address: 369 Salem Street: O&M Firm:
North Andover
Vases
Owner Name: MA Mail Address: Vas
Amit BanerJi 44 Commercial Street,Raynham,MA 02767
Nail Address: 369 Salem Street T61:(506)660-0233 Fax:(508)860-7292
North Andover,MA 01845
9785579154 Telephone No.:
Certified Operator Name:
Telephone No.:
DEP No.: 1✓1fr.No.: SHF13 Cert.No.:
Model No.: Installation Date: Start of Operation:
M i c.ro FAST" 9/4/98 I
Approval Type: (Circle) Seasonal dence-used less than 6 mo./year: (Circle)
General Provisional Piloting Remedial Yes No
Operating Information
Previous Inspection Date: Inspeludg
cti n Date/: Se Depth:(to be checked yearly) Pumping Recommended(Circle)
Yes No
Effluent Description: Attach copy of certified lab results.
CL �!� 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:
y
I certify:9M55 ewage treatment and disposal system at the address above, have completed this report and the
attached s n and intenan checklist, and the information reported is true, accurate, and complete as
of the tima sachus certified operator in accordance with 257 CMR 2.00.
r a
nature Date
System owner must submit Remedial Use—by January 3 I"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'h 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 of
each year for the previous 12 months
each inspection performed:
5/1/0 1
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8450 Cole Parkway■ Shawnee, KS 66227■Phone 913-422-0707 ■ Fax: 912-422-0808
e-mail: onsite(cD_biomicrobics.com ■www.biomicrobics.com . 800-753-FAST(3278)
FIELD INSPECTION & SERVICE REPORT
For Bio-Microbics Single Home FASTS System
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369 Salem Street
Installation Address North Andover,MA 01845 �astecuatr�_.�isrut/ine�G f
Owner Name Amit Baner'i
Mail Address 369 Salem Street .44 Commercial street,Raynham,MA 02787
North Andover, MA 01845 Tel:(508)880-0233, Fax:(5e)880-7232
city State Zip _ . .
9785579154 ___ _ __ 508-880-7232
Phone Fax e-mail Phone Fax e-mail
TNSTALL.ATION 1NFORMt1TI0N—
Model No. Serial No. Date of Installation Date of last pumpout
SE F 13 9/4/98
EQUIPMENT , 3yES"'.r .. O 0 s< viA NC.
Electrical Panel(s)
Visual Alarm atin
Audio Alarm Operating y,
if resent �f
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) LIMIT RESUL
Estimated Dailv Flow 4 Bedrooms
H(Standard Units) 6-9 S.U.
Color Clear
Temperature
Odor Slightly
musty odor
(not septic)
TECHNICIAN SIGNATURE SERVICE DATE
0