HomeMy WebLinkAboutInspection - 445 BOSTON STREET 5/15/2003 C(°���rWnercial StW°���set
........... t"ayn ain, A
MAY 19 Z003 02
�.es: (508) 80.02
BOAC OF HEALTH Fax: (008) 880-7202
May 15, 2003
Andover Board of Health
Town Offices
Bartlet Street
Andover, MA 01810
Attention: Health Agent
Reference: Single Home FAST`S Treatment System
Serial Number: 21762
Attached please find the Field Inspection & Service Report and test results (as required)
for services performed on 04/30/2003 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 lop
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&NI Form for Title 5 IJA Treatment and Disposal Systems
Installation Authorized Service Provider
installation Address: 445 Boston Street OVVI Firm:
North Andover, MA Wastewater Treatment Services, Inc.
Owner Name: Thomas Connolly �itail Address: 44 Commerci a tree
Mail Address: 445 Boston Street Raynham, MA 02767
North Andover, MA 01845 (508) 880-0233
Telephone No.:
1 Certified Operator Name: f
Tel! hone No.: 9789757694 c c� L J� COL.
DEP No.: Nifr.No.: Cert.No.:
Model No.:
Installation Date: Start of Operation:
MicroFAST 01/06/2003
Approval Type: (Circle) Seasonal Res'dence-used less than 6 mo./year: (Circle)
General Provisional Piloting Remedial V
Operatinc,Information
Previous Inspection Date: I Inspe ti n Date: Sludge Depth:(to be checked yearly Pumping p �Recommended(Circle)
r 63 Yes No
Effluent Descriprion: Attach copy of certified lab results.
^` Check all that are required
Samples.-Infl Effluent
Parameters: PH TS TN
Other Other
Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection
and During this Inspection: / 6—, J
Notes and Comments:
I certify: I hav ' pected the sewage treatment and disposal system at the address above, have completed this report and the
attached man facturer's ope tion and aint ance checklist, and the information reported is true, accurate, and complete as
of the time o th 'nsp' tion am a sa setts certified operator in accordance with 257 QNIR 2.00.
0 t Signature �� 4�
System owne must submit Remedial Use—by January 31 of Date
" Department of Environmental
this report, manufacturer's each year for the previous calendar Protection
O&M checklist, and any year Attn: Title 5 Program
required sampling results Piloting & Provisional Use- within
30 days of inspection date One Winter Street, 6'h Floor
to the local Board of Health Boston, N1fA 02103
and DEP as follows for General Use—by September 30 s of
each inspection performed: each year forth!previous I: months
511101
U
Environmental Chemistry Environmental Services
Site Assessment Site Sampling
Quality Assurance Services An&fical ej Balance Data Auditing
C 0 R P R -.. '1' 1 0 N
Wastewater Treatment Services, Inc. CERTIFICATE OF ANALYSIS
44 Commercial Street REPORTED: 05/08/2003
Raynham, MA 02767 ORDER#: G0346459
COLLECTED BY: D.Koshiol SAMPLE DATE: 4/30/2003
TIME: 12:30 DATE RECEIVED: 4/30/2003
LOCATION: 21762 N. Andover SAMPLE ID: Connoly
Grab DESCRIPTION: WATER
RESULTS OF ANALYSIS
Test Parameters LAB-m#: 0346,159-01
BOD SM 5210B 05/01/2003 mg/L 4 16.9
pH SM 4500 H+B 04/30/2003 S.U. 0-14 7.2
Solids, Suspended SM 2540 D 0510512003 mg/L 4 11.0
NA=Not Applicable
ND=Not Detected
'<' = Less Than Approved By: ��
*' = Detection Limit La anager / a e
Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page 1 of t
MUZINCORIPORATED
8450 Cole Parkway■ Shawnee, KS 66227 ■Phone 913-422-0707 ■ Fax: 912-422-0808
e-mail: onsite(ftiomicrobics.com ■www.biomicrobics.com ■800-753-FAST(3278)
FIELD INSPECTION & SERVICE REPORT
For Bio-Microbics Single Home FASTO System
INSTALLATION AUTHORIZED SERVICE PROVIDER,
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
Temperature
Odor
TECHN IAN S AT U E SERVICE DATE