HomeMy WebLinkAboutInspection - 445 BOSTON STREET 8/5/2003 . y in°� r r l SOW
I pharrr , 8
02767
ail: (50 ) 880-0233
' Fax: (001) 880-7232
August 5, 2003
North Andover Board of Health
27 Charles Street
North Andover, MA 01.845
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 07/22/2003 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&NI Form for Title 5 I/A Treatment and Disposal Systems
Installation Authorized Service Provider
Installation Address: 445 Boston Street O&M Firm:
North Andover, MA Wastewater Treatment Services, Inc.
Owner Name: Thomas Connolly Mail Address: 44 Commercial Street
445 Boston Street Raynham,MA 02767
ivtail Address: North Andover,MA 01845 Taleohone (508) 880-0233
No.:-
Certified Operator Name:
Telephone No.: 9789757694
DEP No.: INIfr.No.: Cem,io.:
iVtodel No.: Installation Date: Start of Operation:
MicroFAST I 01/06/2003
Approval Type: (Circle) Seasonal R 'deuce—used less than 6 mo./year: (Circle)
General Provisional Piloting Remedial Yes No
Operating Information
Previous Inspection Date: Inspection ate: Sludge Depth:(to be checked yearly) Pumping Recommended(circle)
'7 0k; Yes No
Effluent Description: Attach copy of certified lab results.
Check all that are required
Samples:n Effluent
/ Paramete OD TSS TN
Other er 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 i pection. [a/m�a Mass c errs certified operator in accordance with 257 CMR 2 0.
Operator Signature Date
Svstem owner must submit Remedial Use—by January 31'of Department of Environmental
this report, manufacturer's each vear for the previous calendar protection
O&NI checklist, and anv year Attn: Title 5 Program
required sampling results Ptl°ring 3c Provisional Use within One Winter Street, 6'" Floor
to the local Board of Health 30 days of inspection date Boston, MA 02108
and DEP as follows for General Use—by September 30 of
each inspection performed: each year for the previous 12 months
5/1101
Environmental Chemistry Environmental Services
Site Assessment Anal Cal Ba1mce Site Sampling
Quality Assurance Services Data Auditing
C; O R P O R ... A 'I' I O N
CERTIFICATE OF ANALYSIS
Wastewater Treatment Services, Inc.
44 Commercial Street REPORTED: 07/30/2003
Raynham, MA 02767 ORDER#: G0349732
COLLECTED BY: M.Dillen SAMPLE DATE: 7/22/2003
TIME: 12:10 DATE RECEIVED: 7/22/2003
LOCATION: 445 Boston St.,N. Andover, MA SAMPLE ID: Connoly
21762(Grab) DESCRIPTION: WATER
RESULTS OF ANALYSIS
Test Parameters LAB-ID#: 0349732-01
BOD SM 5210B 07/23/2003 mg/L 4 27.2
pH SM 4500 H+B 07/23/2003 S.U. 0-14 7.1
Solids,Suspended SM 2540 D 07/25/2003 mg/L 4 7.0
NA=Not Applicable
ND=Not Detected Approved By:
'<' = Less Than LW Manage / Date
'*' = Detection Limit
Page 1 of I
Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225
RM Xmc PORATED
8450 Cole Parkway■ Shawnee, KS 66227 ■Phone 913-422-0707 ■ Fax: 912-422-0808
e-mail: onsite(Mbiomicrobics.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) f/
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 Dailv Flow 4 Bedrooms
H(Standard Units)
Color (, '
Tem erasure
Odor 777 i Z
t'
TECHNICIAN SIGNATURE SER ICE DATE