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HomeMy WebLinkAboutInspection - 445 BOSTON STREET 11/11/2003 V 44 Cornrnerdal Street Rayriharn, MA 02767 Tel: (508) 880-0233 Fax: (508) 880-7232 November 11, 2003 North Andover Board of Health 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 10/31/2003 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 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems Installation Authorized Service Provider Installation Address: 445 Boston Street O&tvt Firm: North Andover, MA Wastewater Treatment Services, Inc. Owner Name: Thomas Connolly :Mail Address: 44 ommercta tree 445 Boston Street Raynham,MA 02767 Mail Address: North Andover,MA 01845 (508)880-0233 ohone No.:. Certified Operator Name: Telephone No.: 9789757694 DEP No.: Mfr.No.: Cem No.: Model No.: Installation Date: Start of Operation: MicroFAST I 01/06/2003 Approval Type: (Circle) Seasonal Residence—used less than 6 mo./year: (Circle) I General Provisional Piloting Remedial Yes No Operating Information Previous Inspection Date: Inspection at Sludge Depth:(to be checked yearly) Pumping Recommended(Circle) �6 3 Yes No Effluent Description: Attach copy of certified lab results. Check all that are required. C� J JV� Samples:Influent Effluent Parameters: pH BOD TSS TN Other Other Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: Notes and Comments: I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached manufacturer's operation and maintenance checklist, and the information reported is true,accurate, and complete as of the time of the in ction. [am a sa uset�s ce ed operator in accordance with 257 CMR 2.00 Operator Signature Date Svstem owner must submit Remedial Use—by January 31"of Department of Environmental this report, manufacturer's each year for the previous calendar Protection O&NI checklist, and any year Attn: Title 5 Pro-ram required sampling results Piloting 3c Provisional Use- within One Winter Street, 6''' Floor to the local Board of Health 10 days of inspection date General Use—by September 30`h of Boston, itilA 02108 and DEP as follows for each year for the previous 12 months each inspection performed: 511101 Environmental Chemistry Environmental Services Site Assessment AnaViia�li C'44�� Ce Site Sampling Quality Assurance Services 1. Data Auditing G O R 1' I 0 1\' CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 4 REPORTED: 11/06/2003 4 Commercial Street Raynham, MA 02767 ORDER#: G0353545 COLLECTED BY: M. Dillen SAMPLE DATE: 10/31/2003 TIME: 8:30 DATE RECEIVED: 10/31/2003 LOCATION: 445 Boston St.,N.Andover,MA SAMPLE ID: Connoly Grab(21762) DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters _ LA MM 0353545-©1 B- BOD SM 5210B 10/31/2003 mg/L 4 8.6 pH SM 4500 H+B 10/31/2003 S.U. 0-14 7.5 Solids, Suspended SM 2540 D 11/04/2003 mg/L 4 <4.0 NA=Not Applicable ND=Not Detected Approved By:,L! <' = Less Than Lar anager / Date '*' = Detection Limit s. Page 1 of t Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 1 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) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDERr 445 Boston Street Installation Address .North Andover MA 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 9789757694 Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pumpout MicroFAST 21762 1/6/03 -EQUIPMENT YES NO MAINTENANCE PERFORMED,AND:COMMENTS -_' Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment unit(s) Unusual Odor Pum out Required: / Primary Settling Zone _ Aerobic Treatment Zone EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 4 Bedrooms H(Standard Units) Color Tem erasure - Odor TECHNICIAN SIGNAT R SERV CE D E