HomeMy WebLinkAboutCorrespondence - 445 BOSTON STREET 1/7/2003 �
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44 Commercial 8Unae1 /
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Hoyriham. MA
Te|: (5OH) @8U-O233
Fax: (500) 88O-7232
January 7` 2003
Andover Board ofHealth
Town Offices
Bod.lml Street
i
/\mdovcr, MA 01810 �
Attention: Board nf Health Agent
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Reference: Home FAST Treatment
Serial Number: 2I762
Attached please fioda copy of the Product Registration Report for the FAST Treatment
System for work performed oo0l/O8/2O03 ot the home of Thomas Connolly located o1
445 Boston Street, North Andover, MA. Also, attached iso copy o[the fully executed
Inspection &c Effluent Testing Agreement.
If you have any questions or require additional infort-riation please do not hesitate to call.
Sincerely,
Donna L. Callahan
.Enclosures
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INCORPORATED
8450 Cole Parkway■Shawnee, KS 66227■Phone 913-422-0707■Fax: 912-422-0808
e-mail: onsite biomicrobics com■www.biomicrobics.com■800-753-FAST(3278)
PRODUCT REGISTRATION REPORT
Product Registration Report must be completed and returned to Bio-Microbics, Inc. in order to effect warranty.
Date of Start-U `6 40 Date Shipped to End User 10/1/02 Serial#21762
OWNER
NAME Thomas Connolly
ADDRESS 445 Boston Street
CITY/STATE/ZIP North Andover, MA 01845
PHONE/FAX
BIO-MICROBICS DISTRIBUTOR
NAME Wastewater Treatment Services, Inc.
ADDRESS 44 Commercial Street
CITY/STATE/ZIP Raynham, MA 02767
PHONE/FAX 508-880-0233 FAX: 508-880-7232
INSTALLER
NAME Robert DeLuca
ADDRESS 2 Josam Lane
CITY/STATE/ZIP Woburn, MA 01801
PHONE/FAX 781-932-3477
CONSULTING ENGINEER if applicable)
NAME Michael O'Neil Assoc.
ADDRESS 234 Park Street
CITY/STATE/ZIP North Reading, MA 01864
PHONE/FAX 978-664-8141
Good ad NA Goo ad NA
ELECTRICAL PANEL(S) TREATMENT UNIT(S)
Visual Alarm Operating Air vent clear
Audio Alarm Operating Septic tank level �]
BLOWER(S) Septic tank meets min. size
Wired for correct voltage Septic tank filled to
operating level
Inlet/outlet piped correctly Air Lift Operation
Filter element installed Recirculation tube in place
Blower hood secure Fasteners tight
Blower works correctly WATER-TIGHT JOINTS
Blower located within 100' of Treatment unit to septic tank
treatment unit
Air line clear Entrance tube to insert cover
Air inlet screen clear Insert to insert cover
Blower hood vents clear Discharge line connection
Factory Authorized Personnel: Title:
Firm: Wastewater Treatment Servi es Date:
Sep 24 02 03: 13p 508 880-7232 p. 2
`1/aa•/cwntley, ;Tc�rliiicrrl 1wtrrc�a , �.�r�c. .
44 Commercial Street
Pleaso completo all Items marked• Raynham, MA
including throe signatures. Mail 02767
signod original contract to:
Wastewater Treatment Servicco.Inc. 50 Tet:
44 Commercial street ( 8) 880-0233
Raynham.MA 02767 Fax: (508)880-7232
INSPECTION AND EFFLUENT TESTING AGREEMENT
Agreement entered into by and between Wastewater Treatment Services,Inc.(herein called WTS)and
the FAST'System OWNER(herein called OWNER) for the inspection by WTS of certain equipment of
OWNER which is described below.
Upon acceptance of this agreement at WTS's office,WTS will render the following services only:
Equipment will be inspected at least 4 times per year that this Agreement remains in effect,with the first
inspections beginning ' 4. These inspections will include:
1) Testing of the sludge depth in the septic tank.
1) Inspection,power testing and clean/replace intake filter of the air blower.
1) Inspection of the alarm system.
1) Inspect overall condition of FAST"'System.
1) Notification to OWNER of any problems encountered.
1) Service other than routine maintenance will be billed at an hourly rate,plus travel and parts.
WTS shall notify the local Board of Health and Department of Environmental Protection in writing within
24 hours of a system failure or alarm event including corrective measures that have been taken.
OWNER will be billed standard WTS charges for any parts used in repairs or maintenance. Any
additional labor time will be billed to the OWNER at standard labor rates of$68.00 per hour.
Emergency service between regular inspections will be provided at standard labor rates during normal
business hours; at time and one-half after 5:00 PM and on Saturdays;and at double time on Sundays and
holidays. Emergency service charges will include a minimum four(4)hours of labor, plus standard WTS
charges for parts, plus mileage and travel charges. The annual rate includes routine maintenance, but does
not include repairs required for damages caused by abuse,accident,theft, acts of third persons, forces of
nature, or alterations made to the equipment. WTS shall not be responsible for failure to render the agreed
services if caused by strikes, labor disputes, non-cooperation by OWNER,or other factors beyond the
control of WTS.
OWNER understands and agrees that WTS is not responsible for special, incidental or consequential
damages, including loss of time, injury to person or property, or equipment failure.
OWNER agrees that WTS may enter OWNER's property and have acceptable access to all areas deemed
by WTS to be necessary or appropriate for WTS to perform its duties hereunder.
Sop 24 02 03: 14p 508 880-7232 r. 3 ,
This is a two-year contract which will be billed annually. All payments are non-refundable. OWNER's
failure to pay invoices promptly or to otherwise comply with this contract may result in suspension of
service,cancellation of contract and/or nullification of warranties,at the election of WTS. This agreement
is not assignable without the consent of WTS and will remain in force until canceled by either party
through written notice.
MANUFACTURER MODEL NO. SERIAL NO. LOCATION ANNUAL RATE
Bio-Microbics MicroFAST / ( N. Andover,MA $370.00
EQUIPMENT OWNER Wastewater Treatment Services.Inc.
*Signed by OWNE . //
Thomas Connolly k'`gned. /C
*Address:
445 Boston Street 44 Commercial Street
Raynham, MA 02767
Tele: (508) 880-0233
*City: State: Zip: Fax: (508) 880-7232
N. Andover MA 01845
Telephone 978-975-7694 Effective Date of Agreement 6-3
Daytime Telephone:tV 1cCi g—731 0
OWNER understands that(1)ANNUAL RATE payment is for one year only of this two-year agreement
and is non-refundable;and(2)Current Iaw requires OWNER to maintain a service agreement for the life
of the FAST®System. I HAVE READ AND UNDERSTAND THE FOREGOING.
*Signed by OWNER: Qr
Effluent Testing
Effluent sample taken 4 times per year and delivered to a qualified testing lab for evaluation. Results sent
to State and local Agencies as well as the OWNER. OWNER is responsible for providing acceptable
access to effluent to enable a grab sample to be taken for laboratory testing performed.
PERMIT:
*(PLEASE CHECK ONE) ( )GENERAL (X)REMEDIAL ( )PROVISIONAL
*SPECIAL CONDITIONS PER LOCAL BOARD OF HEALTH(1)or(l)if YES,please attach copy of
permit
(X)pH,BOD5,TSS O Other:
*Cost for testing: $160.00/Visit
Operator assigned: William Everett
Telephone: (508)400-3868 *Engineer: Michael O'Neil Associates
*Approval for Effluent Testing
Homeowner's Vignature
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