HomeMy WebLinkAboutInspection - 445 BOSTON STREET 7/29/2005 44 Corrirriercia.l Sfteet
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02767
Tel: (508) 880-0233
Fax: ( 08) 880-7232
July 29, 2005
AUG 0 5 2005
North Andover Board of Health
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27 Charles Street [� A ���t�� �' Pr:���6
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North Andover, MA 01845
Attention: Health Agent
Reference: Single Home FAST° Treatment System
Serial Number: 21762
Attached please find the Field Inspection & Service Report for services performed on
07/13/2005 at the property of Thomas Connolly located at 445 Boston Street-North
Andover, MA,
Please call if you have any questions or rewire additional information.
Sincerely,
Wastewater Treatment Services, Inc.
Service Department
Enclosures
Copy to: Thomas Connolly
Massachusetts DEP
Massachusetts Department of Environmental Protection
Ll Bureau of Resource Protection - Title 5
DEP Approved Inspection and OM Form for Title 5 I/A
Treatment and Disposal Systems
5069
E. Sampling Information
Samples Taken:_ Influent _Effluent
Parameters sampled:_pH_BOD_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:
Also tested: , , , .
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 07/13/2005
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, 61h Floor
Boston. MA 02108
DEPMicroFASTnew.doc•7/29/05 Page 2 of 2
INCORPORATED
8450 Cole Parkway m Shawnee, KS 66227 m Phone 913-422-0707 w Fax: 912-422-0808 5069
e-mail: onsite(a)biomicrobics.com m www.biomicrobics.com ro 800-753-FAST(3278)
FIELD INSPECTION & SERVICE REPORT
For Bio-Microbics Single Home FASTS 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 978 975 7694 Fax e-mail Phone Fax e-mail
INSTALLATION INFORMATION
Model No. Serial No. Date of Installation Date of last pump out
MicroFAST.5 21762 01/06)
E UIPMENT 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 N/A
Temperature
Odor None
Comments:
TECHNICIAN SERVICE DATE
Michael Dillen 07/13/2005