HomeMy WebLinkAboutCorrespondence - 544 FOSTER STREET 8/26/2004 a
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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