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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