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HomeMy WebLinkAboutInspection - 445 BOSTON STREET 2/24/2012 44 Commercial Street Raynham, MA 02767 Tel: (508)880-0233 Fax: (508)880-7232 hJ o February 24, 2012 (( TOWN North Andover Board of Health 1600 Osgood Street North Andover, MA 01845 Attention: health Agent Reference: FAST' Wastewater Treatment System- Serial Number: 21762 Attached please find the Field Inspection & Service Report with field test results for services performed on 1-18-12 at the property of Thomas Connolly located at„m445...,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 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 P Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal �y,stells (' V �., 17457 A. Installation Thomas Connolly Owner r 445 Boston Street Of r� °��ii)4" Facility Street Address ,, North Andover 01845 City Zip Mailing address of owner, if different: 445 Boston Street Street Address/PO Box: North Andover MA 01845 City State Zip 978 975 7694 Telephone Number B. Authorized Service Provider Wastewater Treatment Services Inc. O&M Firm 44 Commercial Street Street Address Raynham MA 02767 City State Zip 508-880-0233 Telephone Number David Zavelle 12920 Certified Operator Name Certification Number C. Facility/System Information 21762 Bio-Microbics Inc. MicroFAST.5 DEP ID Manufacturer ID Model Number 1/6/2003 1/6/2003 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 1-18-12 Inspection Date Previous Inspection Date Pumping Recommended []Yes [x] No Sludge Depth(to be checked yearly) 1 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 17457 H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, 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, 1-18-12 Operator Signature Date System owner must submit this report, technology 0&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 31 st of each year for the previous calendar year Piloting Use -within 45 days of inspection date Provisional Use—by March 31th of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston, MA 02108 3 P O R AT E O 8450 Cole Parkway, Shawnee, KS 66227, Phone 913-422-0707, Fax 913-422-0808 e-mail:onsite cni biomicrobics.com, www.biomicrobics.com, 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST°System 17457 INSTALLATION AUTHORIZED SERVICE PROVIDER Installation Address: 445 Boston Street Name:Wastewater Treatment Services,Inc. North Andover,MA 01845 Owner Name:Thomas Connolly Mail Address: 445 Boston Street Mail Address: 44 Commercial Street North Andover,MA 01845 Raynham,MA 02767 Phone:978 975 7694 Far: e-mail: Phone:(508)880-0233 Fax:(508)880-7232 e-mail: INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out MicroFAST.5 21762 1/6/2003 1/1/2006 EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panel(s) Visual Alarm Operating x Audio Alarm Operating x (if present) Blower(s) Air Inlet Filter Clean x Blower Hood Vents Clear x Excessive Noise x Excessive Vibration x Treatment unit(s) Unusual Odor x Pumpout Required x Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 440 gpd pH(Standard Units) 7 Color Clear Temperature 53 Odor Earthy Comments: TECHNICIAN SERVICE DATE David Zavelle 1-18-12