HomeMy WebLinkAboutCorrespondence - 385 RALEIGH TAVERN LANE 1/11/2002 r0',^'�Y.�`a�`l'�°'f."%�1"6✓�'�,°�` �Cr`P/°`�'L1°�"'�:��,a`;',+��?4�ic..../�,'+°`r'l't,°�",�'�i'y eC/'A'l�'i'.
44 Corrir°riwc;ial Sfteel
..R E rE 1 ... ..., Raynh°iarr-y, MA
0 767
MAR 0 7 20 Tel: (508) 880-0233
Fax: (508) 880-723
WORLD OF HL-A_'IH-1
March 1, 2002 ✓
e�
Andover Board of Health `
Town Offices
Bartlet Street
Andover, MA 01810
Attention: Board of Health Agent
Reference:
Home FAST Treatment
Serial Number: 20951
Attached Please find a copy of the Product Registration Report for the FAST Treatment
System for work performed oi.*1/1"`l/02 at the home.,of Jeremy DeBonet located at
385 Raleigh Tavern Also, attached is a copy of the fully
executed Inspection&Effluent Testing Agreement.
If you have any questions or require additional information please do not hesitate to call.
Sincerely,
F
,d
Janet M. Whitman
Enclosures
-REGEIVED
44 Commercial Street
Please complete all items marked a ` " ` � rk�)nlanl MA
including(hrecsignatures, Mail MAR 0 7 1OO °���, � ��' 02767
signed original contract to:
Wastewater Treatment Services Inc. pp (� f1 �� � a Tel"(508) 8.80-0233
art Commercial Street jOARD;,,Q
Raynham,MA 02767
Fax: (50 ) 880-7232
INSPECTION AND EFFLUENT TESTING AGREEMENT
Agreement entered into by and between Wastewater Treatment Services,Inc. (herein called WTS) and
the FAST System OWNER(herein called OWNER) for the inspection by WTS of certain equipment of
OWNER which is described below.
Upon acceptance of this agreement at WTS's office, WTS will render the following services only:
Equipment will be inspected at least 4 times per year that this Agreement remains in effect, with the first
inspections beginning/-//-G These inspections will include:
1) Testing of the sludge depth in the septic tank.
1) Inspection, power testing and clean/replace intake filter of the air blower.
1) Inspection of the alarm system.
1) Inspect overall condition of FAST System.
1) Notification to OWN4 R of any problems encountered.
1) Service other than routine maintenance will be billed at an hourly rate, plus travel and parts.
WTS shall notify the local Board of Health and Department of Environmental Protection in writing within
24 hours of a system failure or alarm event including corrective measures that have been taken.
OVVNE R will be billed standard WTS charges for any parts used in repairs or maintenance. Any
additiornal labor time will be billed to the OWNER at standard labor rates of$68,00 per hour.
Emergen,cy service between regular inspections will be provided at standard labor rates during normal
business hours; at time and one-half after 5:00 PM and on Saturdays; and at double time on Sundays and
holidays. Emergency service charges will include a minimum four(4)hours of labor, plus standard WTS
charges for parts, plus mileage and travel charges. The annual rate includes routine maintenance, but does
not include repairs required for damages caused by abuse, accident, theft, acts of third persons, forces of
nature, or alterations made to the equipment. WTS shall not be responsible for failure to render the agreed
services if caused by strikes, labor disputes, non-cooperation by OWNER, or other factors beyond the
control of WTS.
OWNER understands and agrees that WTS is not responsible for special, incidental or consequential
damages, including loss of time, injury to person or property, or equipment failure.
OWNER agrees that WTS may enter OWNER's property and have acceptable access to all areas deemed
by WTS to be necessary or appropriate for WTS to perform its duties hereunder.
This is a two-year contract which will be billed annually. All payments are non-refundable. O R's
failure to pay invoices:promptly or to otherwise comply with this contract may result in suspension of
service, cancellation of contract and/or nullification of warranties, at the election of WTS. This agreement
is not assignable without the consent of WTS and will remain in force until'canceled by either party
through written.notice.. ,.. . r _...
MANUFACTURER MODEL NO. SERIAL NO. LOCATION ANNUAL RATE
- Bio-Microbics MicroFAST 20951 - N. Andover, MA $370.00
EQUIPMENT OWNER Wastewater Treatment Services,Inc.
*Signed by OWNER:
Jeremy DeBonet - - F_.cig1ed
*Address:
385 Raleigh Tavern Lane 44 Commercial Street
Raynham, MA 02767
Tele: (508) 880-0233
*City: State: Zip: Fax: (508) 880-7232
N. Andover.. .._ MA . . .01846
Telephone Effective Date of Agreement
OWNER.understands.that(1)_ANNUAL RATE payment is.for one year.only..of..this two.=year agreement._:.
and.is..non-refundable;-.and(2).Current'law requires.OWNER to maintain a service agreement.for the.life of the FAST®System, J HA -.AND E TAND-THE FOREGOING. _ .__....._ .. ..
_ . *Signed.by OWNER: ..
Effluent Testing
Effluent sample taken 4 times per year and delivered to a qualified testing lab for evaluation. Results sent
to State and local Agencies as well as the OWNER. OWNER is responsible for providing acceptable
access to effluent to enable a grab sample to be taken for laboratory testing performed.
PERMIT:
*(PLEASE CHECK 07NE) ( ) GENERAL ( X)REMEDIAL ( )PROVISIONAL
*SPECIAL CONDITIONS PER LOCAL BOARD OF HEALTH (Y) or(N) if YES,please attach copy of
permit
(X) pH, BOD5, TSS O Total Nitrogen Nitrate,Nitrite, Ammonia O Other:
*Cost for testing: $160.00/Visit
Operator assigned: William Everett
Telephone: 508 400-3868 X *En ineer: 'New England Engineering
Approval for Effluent Testing 77�
Ho owner's Signa e
,
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nail nsite0biomicrabics.cam m www.biomicrobics.cam ® 600-753-FAST(327>3)
PRODUCT REGISTRATION REPORT
�
Product Registration Report must be completed and returned to Bio-Microbics, Inc. in order to effect warranty.
Date of Start-U 'l7 Date Shipped to End User 11/19//01 Serial#20951
OWNER
NAME John Seferian
ADDRESS 385 Raleigh Tavern Lane
CITY/STATE/ZIP N. Andover, MA 01846
PHONE/FAX 7065792358
1310- ICRO ICS DISTRIBUTOR
NAME Wastewater Treatment Services, Inca
ADDRESS 44 Commercial Street
CITYISTATE/ZIP Ra nham, MA 02767
PHONE/FAX 508-880-0233 FAX: 508-880-7232
INSTALLER
NAME John Susi
ADDRESS 830 Livingston Street
CITY/STATE/ZIP Tewksbury, MA 01876
PHONE/FAX 978-618-5895
CONSULTING ENGINEER if applicable)
NAME New England Engineering
ADDRESS 60 Beechwood Drive
CITY/STATE/ZIP N. Andover, MA 01845
PHONE/FAX 978-686-1768
G Bad NA Good Bad NA
ELECTRICAL PANEL(S) TREATMENT UNIT(S)
Visual Alarm Operating Air vent clear
Audio Alarm Operating Septic tank level
BLOWER(S) Septic tank meets min. size
Wired for correct voltage Septic tank tilled to
operating level
Inletloutlet piped correctly Air Lift Operation
Filter element installed
Recirculation tube in place V,/ Lj
Blower hood secure Fasteners tight
Blower works correctly WATER-TIGHT JOINTS
Blower located within 100'of Treatment unit to septic tank
treatment unit
Air line clear Entrance tube to insert cover
Air inlet screen clear - Insert to insert cover
Blower hood vents clear Discharge line connection
Factory Authorized Personnel: ' Title:
Firm: Wastewater Treatment Serai s, Jnc. Date: