HomeMy WebLinkAboutCorrespondence - 369 SALEM STREET 8/7/2001 I
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SALES & SERVICE, INC.
August 29, 2001
North Andover Board of Health
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 and test results (as required)
for services performed on 8/7/01 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.
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Sincerely,
f
, net M. Whitman
Enclosures J
Copy to: Amit Banerji
44 Q;UI77PV medal Si.
Rapham,MA 0.12767
Tale.508.823.9566
Fax 508,880-7232
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COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
t
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: 36 a em Street: 0&;.I Firm:
North Andover
MA J & R Sales & Service, Inc.
Owner Name: emit Banerji Mail Address: 44 Commercial Street
Mail address: 369 Salem Street Raynham, Ma 02767
North Andover,MA 01845 Tala hone No.: 0 823-9566 I
97$SS79154
Telephone No.: �L./p Certified Operator Name: ;j""��DEP No.: Nlfr. No.: Cert.No.: I '
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Model No.: _ I Installation Date: Start of Operation:
Micro FR S � 9/4/98
11 Approval Type: (Circle) Seasonal dence—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 No
Effluent Description: Attach copy of certified lab results.
x ,17 Check all that are required. /
l� YC Samples: Influent Effluent V/
O P e (�e=s-y Parameters: CpH)) B OOD TSS TN �l
Other C►`tGer Other !7 5
Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection
and During this Inspection:
GOOD
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 manufa turer's operation main nance checklist, and the information reported is true, accurate, and complete as
of the time of t e ins ection. I am ass usetts certified operator in accordance with 257 CN(R 2.00.
pera r 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&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
General Use - by September 30 of
and DEP as follows for each year for the previous 12 months '' '
each inspection performed:
511,01
Environmental Chemistry Environmental Services
Site Assessment Anaylical Ba�lanee Site Sampling
Quality Assurance Services
Data Auditing
C 0 R P 0 R A T 1 0 N
CERTIFICATE OF ANALYSIS
J&R Sales & Service
REPORTED: 8/20/2001
44 Commercial Street
Raynham, MA 02767 ORDER#: G0126904
COLLECTED BY: D. Koshiol SAMPLE DATE: 8/7/2001
TIME: 12:30 DATE RECEIVED: 8/7/2001
LOCATION: SHF 13 - North Andover, MA SAMPLE ID: Banjeri
grab DESCRIPTION: WATER
RESULTS OF ANALYSIS
Test Parameters LAB-ID#: 0126904-01
OD SM 5210B 8/8/2001 mg/L 4 i 18.0
pH SM 4500 H+13 8/7/2001 S.U. 0-14 7.5
Phosphorus, Total SM 4500-P B/E 8/16/2001 mg/L 0.01 11.9
[Solids, Suspended SM 2540 D 8/10/2001 mg/L 2 8.8
NA=Not Applicable
ND=Not Detected
Less Than
Approved B
Y
Lb ne �:�Detection Limit
Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page: 1
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I N C 0 8=PO f i A T C 0
8450 Cole Parkway . Shawnee, KS 66227 .Phone 913-422-0707 . Fax: 912-422-0808
e-mail: onsiteO-biomicrobics.com ®www.biomicrobics.com . 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 J&R Sales&Service, Inc.
Owner Name Amit Baner'i Street
Mail Address 369 Salem Street Mail Address 44 Commercial Street
North Andover, MA 01845 Raynham, MA 02767
City State Zip C State Zip
9785579154 508-880-7232 Phone Fax a-mail e Fax e-mail
INSTALLATION INFORMATION
Model No. Serial No. Date of Installation Date of last pumpout
SHF 13 9/4/98
EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS
Electrical Panel s
Visual Alarm Operating
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) LIMIT RESULT
Estimated Daily Flow 4 Bedrooms
H(Standard Units) 6-9 S.U.
Color Clear
Temperature
Odor Slightly
musty odor
(not se tic)
TECHNICIAN SA73NATURE I E ICE ATE
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