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HomeMy WebLinkAboutCorrespondence - 544 FOSTER STREET 8/26/2004 a .WW..ww. ...W W ..,W 44 (":Atnrnercial Street d' ayrittam, M 02767 Teel: (508) 880--0233 Fax: (508) 880-7232 September 17, 2004 V North Andover Board of Health �. 27 Charles Street North Andover, MA 01845 Attention: Health Agent Reference: Single Home FAST® Treatment System Serial Number: 2N281 f�i"rt serveices p0 farmed on 08/26/20041at the Service property of Karen O'Keefe llocat s rat 5444 please P P required) .. . " P P y Foster Street -forth Andover, MA. ......�.�._ ..eae�call if" , Pl .. you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Karen O'Keefe Massachusetts DEP Environmental Chemistry Environmental Services Site Assessment Site Sampling Quality Assurance Services A-alvuc Bala^n tip Data Auditing 1R Y R T 1 0 N CERTIFICATE OF ANALYSIS Wastewater Treatment Services,Inc. 44 Commercial Street REPORTED: 09/02/2004 Raynham, MA 02767 ORDER#: G0462987 COLLECTED BY: M.Dillen SAMPLE DATE: 8/26/2004 TIME: 9:30 DATE RECEIVED: 8/26/2004 LOCATION: 544 Foster St.,N.Andover,MA SAMPLE ID: O'Keefe Grab(2N281) DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters LAB- #: 0462987-01 BOD SM 5210B 08/27/2004 mg/L 4 9.4 pH SM 4500 H+B 08/26/2004 S.U. 0-14 7.3 Solids, Suspended SM 2540 D 08/31/2004 mg/L 4 <4.0 NA=Not Applicable ND=Not Detected '<' = Less Than Approved By: `L ,,✓`�/ *' = Detection Limit Zab Mana er / Date Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page I of I Massachusetts Department of Environmental Protection Bureau of Resource Protection Title 5 . DEP Approved Inspection'and O&M Form for Title 5 I/A Treatment and Disposal Systems 3813 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: !� 544 Foster Street Street Address/PO Box: N.Andover MA 01845 City State Zip (978-689-3599 ext. Telephone Number B. Authorized Service Provider Wastewater Treatment Services, Inc. O&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 08/26/2004 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended _Yes X No Color: Clear Odor: None Effluent Description DEPMicroFASTnew.doc•9/17/04 Page 1 of 2 Massachusetts Department of Environmental Protection Bureau of Resource Protectlon Titles DEP Approved Inspection'and O&M Form for Title 5 I/A Treatment and Disposal Systems 3813 E. Sampling Information Samples Taken:—Influent X Effluent Parameters sampled:X pH X BOD X TSS_TN_Other(list below) Other 1 Other 2 Other 3 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 08/26/2004 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 st of each year for the within 30 days of inspection 30th 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•9/17/04 Page 2 of 2 � � Q 1 INCORPORATED 8450 Cole Parkway m Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 3813 e-mail: onsite cDbiomicrobics.com m www.biomicrobics.com m 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTO 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 08/01/2004 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 unit(s) 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 Clear -Temperature Odor None Comments: TECHNICIAN SERVICE DATE Michael Dillen 08/26/2004