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Inspection - 1312 SALEM STREET 9/17/2007
44 Commercial Street Raynham,MA 02767 Tel: (508)880.0233 Fax: (508)880-7232 October 9, 2007 i North Andover Board of Health 1600 Osgood Street North Andover, MA O1845 Attention: health Agent Reference: FAST° Wastewater Treatment System - Serial Number: 25555 Attached please find the Field Inspection & Service Report with field test results for services performed on 09/17/2007 at the property of Gay Neilson located at 1312 Salem 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: Gay Neilson Massachusetts DEp Massachusetts Department of Environmental Protection 1 Bureau of Resource Protection - Title 5 ;^ DEP Approved Inspection and O&M Form for Title 5 I/ Treatment and Disposal Systems 6322 A. Installation Important: Gay Neilson .__---- --_ -- When filling out Owner forms on the 1312 Salem -Street -_— -_ _- -- computer, use --- - only the tab key Facility Street Address to move your North Andover — — 01845 cursor-do not —--- __ --"---_-- Zip use the return City key. Mailing address of owner, if different: 1312 Salem Street Street Address/PO Box: North Andover MA 01845 � City —— State Zip 978-685-9415 ext. Telephone Number D. Authorized Service Provider _Wastewater Treatment Services, Inc. O&M Firm 44 Commercial Street _ Street Address Raylham ---__---- MA 02767 —- City State Zip 508-880-0223 ext. Telephone Number David Kos_hiol _ 2976 Certified Operator Name Certification Number O. Facility/System Information 2_58_55 Bio-Microbics, Inc. MicroFAST .5 DEP ID Idlanufacturer ID Model Number 12/13/2005 Installation Qate Start of Operation Approval Type: ®General ® Provisional Q Piloting ®Remedial Seasonal Residence -used less than 6 mo./year. ®Yes ®No D. Operating Information 09/17/2007 _ ----- - — Inspection Date Previous Inspection Date 12° Pumping Recommended 0 Yes ® No Sludge Level Page 1 of 3 DEPMicroFASTnew.doc- 1019/07 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/ Treatment and Disposal Systems 6322 E. Field Testing Field Inspection Color: ®gray Q brown ©clear Q turbid 0 other (specify): Odor: Q musty ©earthy ®moldy Q offensive ®turbid Effluent Solids: ©no []some pH 7.0 SU DO 5.9 mg/L. Turbidity 3.1 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken 0 Influent Q Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: 440 gpd Parameters sampled: 0 pH 0 BOD 0 CBOD 0 TSS Q TN Q Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection and during this inspection Cleaned Filter, , , Checked Splash Recycle, Notes and Comments: Page 2 of 3 DEPMicroFASTnew.doc•10/9/07 Massachusetts Department of Environmental Protection 1 Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/ Treatment and Disposal Systems 6322 H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, have completed this report and the attached technology operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CMR 2.00. David Koshiol 09/17/2007 Operator Signature Date System owner must submit this report, technology O&M checklist, and any required sampling results to the local board of health and DEP as follows for each inspection performed: Remedial Use—by January 31 st of each year for the previous calendar year Piloting Use—within 45 days of inspection date Provisional Use—by March 31st of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston, MA 02108 Page 3 of 3 DEPMicroFASTnew.doc - 10i9i07 IN C0RR..ORATE0 8450 Cole Parkway n Shawnee, KS 66227 uj Phone 913-422-0707 ru Fax: 912-422-0808 6322 e-mail: onsite(cD-biomicrobics.com u3 www.biomicrobics.com w 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 1312 Salem Street Installation Address: North Andover,MA 01 845 Name: Wastewater Treatment Services, Inc. Owner Name: Gay Neilson Mail Address: Mail Address: 44 Commercial Street 1312 Salem Street Rayuham, MA 02767 North Andover, MA 01845 City State Zip 508-880-0233 508-880-7232 Phone: 978-685-9415 Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out MicroFAST.5 25855 12/13/2005 EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panel(s) Visual Alarm O eratin X Audio Alarm Operating X (if resent) Blower(s) Air Inlet Filter Clean X Blower Hood Vents Clear X Excessive Noise X Excessive Vibration X Treatment unit(s) Unusual Odor Pum out Required: X Primary Settling Zone 12 Aerobic Treatment Zone 13" EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 440 gpd. H Standard Units) Color Clear Temperature 69.3 Odor Earth Comments: TECHNICIAN CE DATE David Koshiol 0