HomeMy WebLinkAboutCorrespondence - 544 FOSTER STREET 5/11/2004 m
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44 C ornr-nerd l Street
Rayrrharrr, AMA
02761
TO (08) 80-0233
Fax: ( 08) 880-7232
May 19, 2004
North Andover Board of Health " ���"n
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27 Charles Street
North Andover, MA 01845
Attention: Health Agent
Reference: Single Home FASTO Treatment System ”
Serial Number: 2N281
Attached please find the Field Inspection& Service Report(as required) for services
property O'Keefe
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performed North Andov 05��2004 at the of Karen O Keefe located at 544 Faster Street
No ,
Please call if you have any questions or require additional information.
Sincerely,
Wastewater Treatment Services, Inc.
Service Department
Enclosures
Copy to: Karen O'Keefe
Massachusetts DEP
Massachusetts Department of Environmental Protection
DEP LiBureau of Resource Protection - Title 5
Approved Inspection and O&M Form for Title' I/A
Treatment and Disposal Systems`
2306
A. Installation
Important: Karen O'Keefe _
When filling out Owner
forms on the
computer,use 544 Foster Street
only the tab key Facility Street Address
to move your North Andover 01845
cursor-do not City Zip
use the return
key. Mailing address of owner, if different:
ICI 544 Foster Street
Street Address/PO Box:
N. Andover MA 01845
Rtr'" City State Zip
(978-689-3599 ext.
Telephone Number
B. Authorized Service Provider
Wastewater Treatment Services, Inc.
0&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
2N281 Bio-Microbics, Inc. MicroFAST .5
DEP ID Manufacturer's Name&ID Model Name&Number
05/29/2002
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
05/11/2004
Inspection Date Previous Inspection Date
Sludge Depth(to be checked yearly) —
— Pumping Recommended X Yes No
Color: N/A Odor: None
Effluent Description
DEP Micro FASTnew.doc•5/19/04 Page 1 of 2
Massachusetts Department of Environmental Protection
Ll DEP Bureau of Resource Protection - Title 6
Approved Inspection n d O&M Form for Title 5 I/
Treatment I I Systems
2306
E. Sampling Information
Samples Taken:—Influent _Effluent
Parameters sampled:_pH_BOD_TSS_TN_Other(list below)
Other 1 Other 2 Other 3
I
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
31 s`of each year for the within 30 days of inspection 30`h 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
r
INCORPORATED
8450 Cole Parkway Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 2306
e-mail: onsite(a-Womicrobics.com ta www.biomicrobics.com UT 800-753-FAST(3278)
FIELD INSPECTION & SERVICE REPORT
For Bio-Microbics Single Home FAST® System
INSTALLATION AUTHORIZED SERVICE PROVIDER
544 Foster Street
Installation Address North Andover,MA 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
N.Andover,MA 01845 City State Zip
508-880-0233 508-880-7232
Phone 978-689-3599 Fax e-mail Phone Fax e-mail
INSTALLATION INFORMATION
Model No. Serial No. Date of Installation Date of last pump out
MicroFAST.5 2N281 05/29/2002
EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS
Electrical Panel(s)
Visual Alarm Operating X
Audio Alarm Operating X
if resent
Blower(s)
Air Inlet Filter Clean X
Blower Hood Vents Clear. X
Excessive Noise X
Excessive Vibration X
Treatment units
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