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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 , � =14CORPORDATE0 CIA "�i 11 OF 1C1L 460(,,Q Parkway w Shawnee, KS 68227® Phone 913-422-07017 m Fax. TZ-104'4 08 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: