HomeMy WebLinkAboutMiscellaneous - 1312 SALEM STREET 12/13/2005 16-DEC-06 11:39AM FROM-JRENCPROD +15095547232 T®617 P.01/04 F°364
44 Commercial Street
Raynham, MA
012767
Tel: (508) 880-0233
Fax: (508) 8807232
December 15,2045
'�E �FII i
North Andover Board of Health
404 Osgood Strut
North Andover,MA.01845 ���E C;
G(AN N1 71
Attention: Board of Health Agent
Reference: Home FAST Treatment
Serial Number: 25855
Attached please find a copy of the Product Registration Report for the FAST Treatment
System for work performed on 12/13/2005 at the home of Gay Neilson located at 1312
Salem Street,North Andover,MA. Also, attached is a copy of the fully executed
Inspection&Effluent Testing AgTeement.
If you have any questions or require additional information please do not hesitate to call.
Sincerely,
Manna.E, Callahan
Enclosures
15-DEC-05 11 :39AM FROM-JRENGPROD +15088807232 T-617 P.02/04 F-364
am, P 3 R A T E 0
8450 Cole Parkway w Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422,0808
e-mail: ons" big ' obics.c m www iomicrobic+ .rom o 804-753-FAS�T(3278)
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PROD I I ^ 1
Product Registration Report must be completed and returned to Bio-Microbics, Inc,in order to effect warranty.
date of Stazt-U 1-63 bate Shipped to End User 11/15/05 Serial#25855
OWNER
NAME Gay Neilson
ADDRESS 1312 Salem Street
CITY1STATEIZIP North Andover,MA 01845
PHONEIFAX
810-MICROBICS DISTRIBUTOR
NAME Wastewater hvatment Services,Inc.
ADDRESS 44 Commercial Street
CITYISTATE/ZIP Raynh=4 MA 02767
PHONE/FAX 508-880-0233 FAX: 508-880-7232
INSTALLER
NAME Sous 's Sewer
ADDRESS P.O.Box 4158
CITY/STATE/ZIP Andover,MA 01810
PHONE/FAX 978-470-1400
CON§OL.TING ENGINEER if s licable .
NAME New n land ET1 ineerin
ADDRESS P.O.Box 535
CITY/STATEIZIP North Andover,MA 01845
PHONEIFAX 978-686-1768
Good Bad NA Good Bad NA
EI-ECTRICAI_PANEI_(S) TREATMENT UNIT(S)
Visual Alarm Operating ❑ J Air vent clear ❑
Audio Alarm Operating ® Septic tank level E, ❑
BLOW ER(S) Septic tank meets min.size Y L3
Wired for correct voltage ❑ Septic tank filled to [� ❑
operating level
Inlet/outlet piped correctly Air Lift Operation
Filter element installed [] Recirculation tube in place [ ❑
Blower hood secure ❑ Fasteners tight ❑
Blower works correctly ❑ WATER-TIGHT JOINTS
Blower located within 100'of L) ILj Treatment unit to septic tank IL
treatment unit 4
❑
Air line clear L] Entrance tube to insert cover
Air inlet screen clear ~❑ Insert to insert cover PEE
Blower hood vents clear Li Discharge line connection
:=' Title-
factory Authorized personnel: Date:
Firm: Wastewater Treatment Services Inc_
15-DEC-05 11 :39AM FROM-AMPROD +15088807232 T-617 P.03/04 F-364
u,1•'gym-V; 11 14,dA FROM-AMPROD
Ft:;ynhami, MA
E'r9u:•c.►r►'►tlotasn items motk�e* C.;767 i,06iin;tbve0Infivi a, M94
9itdr,'1'o��tir�tGOtapaacSa; .
?llldt#?x{' L Tirl: (601,)831)
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aiio=at catered itlta by? ad'b w"r►'Wptew$iter'l�re�taaaent e►wrle ,lac.(her�;in c ll�s l WTS)a,°:�
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15-DEC-05 11 :40AM FROM-AMPROD +15088807282 T-617 P•04/04 F-864
II.S�VO'��'t! 11 14,IM rKUr�®�RGnur�u�
' All a me�tt�are rlor�-x fu�ciabl�s. �0�w?r Clt
two., aQntrnt w3 .lxilled annually. P y ,;nsiau of
s' with.this contract may'resuit ill I;U!,l'
j',�(17a� �";p�x<;ir,'vc�•{c��p�� at1yV.�Ak':��.+�t��r�vise cam�+lY S• *I his
r r unification of wrarl anties,at the electic i at'`►�V'1�'
isa#�c611arign of ems�tx�66 io 4d( .�3; i.tt]�E�r
t,l} j; �li�3it.a$ iot asiakale wlr, iut eke consent of WK'S and will remain in force u��al carp!led�, r ;
Forth Andover,MP, I; 90 C0 "
astern e�Treatin t knjLr:5, !(nc,
:,• pd,by fie •
1
Alld es�: 44 Commercial Street
i 1 Ss ctin Snret RaynhMt,MA 02767
Tele: (Sp$)880-0233
State: dip:_ Fax:(508) 880-7232
I ( ,;, A.d MA. 01945
G o v Effective Date o#'A �ernr�r
:ejtTh0- 97R-6 5- 4
i1:101 imc Telephone:
1;1'�i' t l ut►derstartds that(1)A�11�UA�r�-ATE payment is for Gibe year c+nCY of thifl tw'o•ya)r ag�retrment
t.tl'. is,1ltSIS ri,Fttt'id8blty and( ) ttnet'it DEl? JJ OWNER
AVE READ AND D 1'S�ERSTAXM T ID'tee
al f,)r the life of the VASrSyStCl�
,SjpT�e4 by DW R: r
"'f1y �Test
sarhple takezt 4 times year and he OWNER. OWNER responsible f)r prCM ling st�:lt$for ev,
ip .,t&t4:and 1paal Agencies as Well as the
;tc ��l,ta1sle 4:cGnss to effluent tp ena��e a Drab sample to be taken for laboratory testa:ag lie��!;:rtted-
AL CONDITION PER.LOCAL BOARD OF HEALTH
(�or(l`I)if YES,pletss,; :�,tech aol�y �t
;'rr4t�t
BODs,TSS (.)0 ther,
t Ming: 918(kU0
Et�ere�
t �ierat��asiued: iia *Engineer,Nov Enlrl�:x.,,:En$i�YCe�.46;
r,sl,e,� >►IIe: 0 4,"86
" .pl sro vi31 Fnr E£fluerit Testio -�
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