HomeMy WebLinkAboutInspection - 445 BOSTON STREET 2/10/2005 /14 CornB nordal Strelet
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el: (508) 880 0233
Fax: (508) 880-7232
February 10, 2005 R-EC,EIVED
FEB 2 2 �005
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North Andover Board of Health 1 OWN O N ORTH ANDOVER HEALTH DEPARTMEN
27 Charles Street
North Andover, MA 01845
Attention: Health Agent
Reference: Single Home FAST'5 Treatment System
Serial Number: 21762
Attached please find the Field Inspection & Service Report and test results for services
performed on 02/01/2005 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 Assessment Site Sampling
Quality Assurance Services Ana ical"*�— a !'P Data Auditing
G O R Y O1' j�101.1�.
Wastewater Treatment Services, Inc. CERTIFICATE OF ANALYSIS
44 Commercial Street REPORTED: 02/07/2005
Raynham, MA 02767 ORDER#: G0568015
COLLECTED BY: M. Dillen SAMPLE DATE: 2/1/2005
TIME: 13:30 DATE RECEIVED: 2/1/2005
LOCATION: 445 Boston St., N. Andover, MA SAMPLE ID: Connolloy
21762 Grab DESCRIPTION: WATER
RESULTS OF ANALYSIS
rz
MOO *0
Test Parameters LAB IDN: 0568015-01
BOD SM 5210B 02/02/2005 Em�g/L g/L 4 20.1
IpH SM 4500 H+B 02/01/2005 .U. 0-14 7,2
Solids, Suspended SM 2540 D 02/03/2005 4 20.0
NA=Not Applicable
ND=Not Detected
<' = Less Than Approved By
*' = Detection Limit L anager / Date
75;1�119
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Analytieal Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page t or t
Massachusetts Department of Environmental Protection
J' Bureau of Resource Protection o Title 5
DEP Approved Inspection and O&M Form
for Title I/
Treatment and Disposal Systems
A. Installation 3234
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
cursor-do not 01845
use the return City Zip
key. Mailing address of owner, if different:
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.
O&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 MicroFAST .5
DEP ID Manufacturer's Name&ID Model Name&Number
Installation Date 01/06/2003
Start of Operation _ —
Approval Type:_General _Provisional _Piloting X Remedial
Seasonal Residence—used less than 6 mo./year:_Yes X No
D. Operating Information
02/01/2005
Inspection Date Previous Inspection Date
Sludge Depth(to be checked yearly)
Pumping Recommended _Yes X No
Color: SomeSuspMatter Odor: None
Effluent Description _
DEPMicroFASTnew.doc•2/10/05
Page 1 of 2
LLAMassachusetts Department of Environmental Protection
Bureau of Resource Protection - Title 5
DEP Approved Inspection and O&M Form for Title 5 I/
Treatment and Disposal Systems
E. Sampling Information 3234
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:
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 02/01/2005
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 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, 61h Floor
Boston. MA 02108
ASTnew.doc•2/10/05
Page 2 of 2
a4WIN MORPORATED
8450 Cole Parkway m Shawnee, KS 66227 u,Phone 913-422-0707 ul Fax: 912-422-0808 3234
e-mail: onsite biomicrobics.com tu www.biomicrobics.com m 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 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 01/06/2003
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 Settlin Zone
Aerobic Treatment Zone
EFFLUENT(optional) LIMIT RESULT
Estimated Daily Flow 4 Bedrooms
H Standard Units
Color SomeSusp
Matter
Temperature
Odor None
Comments:
TECHNICIAN SERVICE DATE
Michael Dillen 02/01/2005