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Home My WebLink AboutInspection - 445 BOSTON STREET 1/20/2004 wk',�V .,.. N d';^.Cs"fi..,1". y C_�IAC'��a 44 Cornniercial Street 4 aynhar , MA 00707 Tel: (508) 880-0200 Fax: (508) 0-7202 January 20, 2004 North Andover Board of Health r � 27 Charles Street North Andover, MA 01845 . ._ Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: 21762 Attached please find the Field Inspection& Service Report and test results (as required) for services performed on 01/08/2004 at the property of Thomas Connolly located at 445 Boston 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: Thomas Connolly Massachusetts DEP Environmental Chemistry Environmental Services Site -kssessment (luality,lssur:uu'e Services Analqical '�' Balance site Sampling Data Auditing C 0 Lt Y (_) R /A T I () N CERTIFICATE OF ANALYSIS Wastewater 'treatment Services, Inc. 44 Commercial Street REPORTED: 01/16/2004 Raynham, MA 02767 ORDER#: G0455370 COLLECTED BY: NI. Dillen SAMPLE DATE: 1/8/2004 TIME: 12:00 DATE RECEIVED: 1/8/2004 LOCATION: 445 Boston Rd. N. Andover, MA SAMPLE ID: Connoly 21762 Grab DESCRIPTION: WATER RESULTS Or ANALYSIS Paramete A,naly is Date Units Det Result ' Mtrthod Analyzed Lamtt�` ,Test Parameters LAB-M 0455370-01 BOD SN15210B 01/09/2004 —mg/L 4 35.4 PH SM 4500 H+B 01/08/2004 S.U. 0-14 7.5 Solids, Suspended SM 2540 D 01/13/2004 mg/L 4 28 0 NA=Not Applicable - ND=Not Detected '<' Approved By: = Less Than - - - -- - — /-- *' = Detection Limit ab Manaeer / ate Page 1 or I Airnl3�tic•ul Balance Corp., 422 West Grove Street, Middleboro, NIA 02346 Ph: 508-946-2225 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 D P Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 41 A. Installation Important: Thomas Connolly _ When filling out Owner forms on the computer,use 445 Boston Street _ only the tab key Facility Street Address to move your North Andover 01845 cursor-do not use the return City Zip key. Mailing address of owner, if different: Q 445 Boston Street Street Address/PO Box: North Andover MA 01845 City State Zip (978 975 7694 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 21762 Bio-Microbics, Inc. MicroFAST .5 DEP ID Manufacturer's Name&ID Model Name&Number 01/06/2003 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 01/08/2004 Inspection Date Previous Inspection Date Sludge Depth (to be checked yearly) Pumping Recommended _Yes X No Color: Clear Odor: None Effluent Description DEPMicroFASTnew.doc- 1/20/04 Page 1 of 2 Ll5Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and ® M Form for Title 5 I/A Treatment and Disposal Systems 41 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 01/08/2004 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 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, 6`h Floor Boston. MA 02108 DEPMicroFASTnew.doc•1/20/04 Page 2 of 2 I N C 0 R 7 0 R A T E 0 8450 Cole Parkway n Shawnee, KS 66227 a Phone 913-422-0707 m Fax: 912-422-0808 41 e-mail: onsite(a)biomicrobics.com rr www.biomicrobics.com w 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 445 Boston Street Installation Address North AndoverMA 01845 Name Wastewater Treatment Services,Inc. Owner Name Thomas Connolly Street Mail Address: Mail Address 44 Commercial Street 445 Boston Street Raynham, MA 02767 North Andover,MA 01845 City State Zip 508-880-0233 508-880-7232 Phone 978 975 7694 Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model N). Serial No. Date of Installation Date of last pump out MicroFAST .5 21762 01/06/2003 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 o tional LIMIT RESULT Estimated Daily Flow 4 Bedrooms H(Standard Units) Color Clear Tem erature Odor None Comments: TECHNICIAN SERVICE DATE Michael Dillen 01/08/2004