HomeMy WebLinkAboutCorrespondence - 544 FOSTER STREET 11/13/2002 .. ..�..��,-�� ......._.___ 44 Commercial Street
,9a Raynharri, MA
'A G ti, 02767
x
,.:C,r 17
Tel: (508) 880.0233
F`ax: (808) 880-7232
�a
November 26, 2002
North Andover Board of Health
27 Charles Street
North Andover, MA 01845
Attention: Health Agent
Reference: Single Home FAST° Treatment System
Serial Number: 2N281
Attached please find the Field Inspection & Service Report (as required) for services
performed on 11/13/2002 at the property of Karen O'Keefe located at 544 Foster 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: Karen.O'Keefe
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
U0 DEPARTMENT OF ENVIRONMENTAL PROTECTION
ONE WINTER STREET, BOSTON, MA 02108 617.292.5500
DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems
Installation Authorized Service Provider
[nstallation Address: 0&M Firm:
544 Foster Street
North Andover, MA Wastewater Treatment Services, Inc.
Owner Name: flail Address:
Karen O'Keefe 44 Commercial Street
Mail Address: 544 Foster Street Raynham,MA 02767
North Andover,MA 01845 Teleohone No.: 0 880-0233
Tele hone No.:
9786893599 Certified Operator Name; ,S-
DEP one
Nifr.No.: Cert.No.: /
2N281 C�
Model No.: Installation Date: Start of Operation:
MicroFAST 5/29/02
Approval Type: (Circle) Seasonal es'dence-used less than 6 mo./year: (Circle)
General Provisional Piloting Remedial Yes No I
Operating Information
Previous Inspection Date: I Inspection Date: Sludge Depth:(to be checked yearly) Pumping mmended(Circle)
0Z i Yes i`Fo
Effluent Description: Attach copy of certified lab results.
Check all that are required
Q1 ��� 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:
C E) (DjD
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 manufac er's operation and inte ance checklist, and the information reported is true, accurate, and complete as
of the time of inspection I am a sac setts certified operator in accordance with 357 C V(R 3.00.
O rat S ignature -12 6
Date
System owner must submit Remedial Use-by January 31"of Department of Environmental
this report, manufacturer's each vear for the previous calendar protection
O&M checklist, and any year Attn: Title S 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
General Use—by September 30'h of Boston, ;tiLA 02108
and DEP as follows for each year for the previous 12 months
each inspection performed:
5i UO l
I
INCORPORATED
8450 Cole Parkway■ Shawnee, KS 66227■Phone 913422-0707■ Fax: 912-422-0808
e-mail: onsiteAbiomicrobics.com ■www.biomicrobics.com ■ 800-753-FAST(3278)
FIELD INSPECTION & SERVICE REPORT
For Bio-Microbics Single Home FAST(R) System
INSTALLATION
A'U
, ,rr ��+j}�+a � PROVID ERF a'
vr��,.•��'6<<
544 Foster Street
Installation Address North AndoverMA 01845 Name Wastewater Treatment Services,Inc.
Owner Name Karen O'Keefe Street
Mail Address: Mail Address 44 Commercial Street
544 Foster Street Raynham, MA 02767
North Andover,MA 01845 City State Zip
508-880-0233 508-880-7232
Phone 9786893599 Fax e-mail Phone Fax e-mail
INSTALLATION INFORMATION ' = L
Model No. Serial No. Date of Installation Date of last pumpout
MicroFAST 2N281 5/29/02
EQUIPMENT 'a,` YES MAINTENANCE PE,,RFORI�IED AND,CO
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)
Color
Temperature
Odor
TECHNI AN SIG ATUR SERVICE DATE
Environmental Chemistry Environmental Services
Site Assessment C; Site Sampling
Quality Assurance Services Anakfical �� Ce Data Auditing
0 O A �10
N
CERTIFICATE OF ANALYSIS
Wastewater Treatment Services, Inc.
44 Commercial Street REPORTED: 11/21/2002
Raynham, MA 02767 ORDER#: G0241912
COLLECTED BY: D.Koshiol SAMPLE DATE: 11/13/2002
TIME: 14:10 DATE RECEIVED: 11/14/2002
LOCATION: 2N281 Andover SAMPLE ID: T O'Keefe
Grab DESCRIPTION: WATER
RESULTS OF ANALYSIS
MNTest ParainelerS LAB-ID#: 0241912-01
BOD SM 5210B 11/14/2002 mg/L 4 <4.0
pH SM 4500 H+B 11/14/2002 S.U. 0-14 6.5
Solids,Suspended SM 2540 D 11/19/2002 mg/L 4 <4.0
NA=Not Applicable
ND=Not Detected Approved By:
;* Less Than Lab / Date
Detection Limit anager
Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page t of 1