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44 Commercial Street
Rayrrham, P
02767'
TO (508) 880-0233
Fax: (50E3) 880-7232
February 22, 2006
North Andover Board of Health
400 Osgood Street
North Andover, MA 01845
Attention: Health Agent
Reference: FAST Wastewater Treatment System
Serial Number: 24428
Attached please find the Field inspection& Service Report with Feld test results for
services performed on 01/27/2006 at the property of Karl Kober located at 43 Mill Road-
North Andover, MA.
Please call if you have any questions or require additional information.
Sincerely,
Wastewater Treatment Services, Inc.
Service Department
Enclosures
Copy to: Karl Kober
Massachusetts DEP
Massachusetts ,a ent of Environmental Prote(. in
L 1�l DEP Bureau of Resource Protection - Title 5
Approved Inspection and O&M Form for Title 5 U
Treatment and Disposal Systems
4622
A. Installation
Important: Karl Kober
When filling out Owner
forms on the
computer, use 43 MITI Road
only the tab key Facility Street Address
to move your North Andover 01845
cursor-do not city use the return y Zip
key. Mailing address of owner, if different:
_ I 43 Mill Road
Street Address/PO Box:
North Andover MA 01845
City State Zip
617-967-5298 ext.
Telephone Number
B. Authorized Service Provider
Wastewater Treatment Services, Inc.
0&M Firm
44 Commercial Street
Street Address
Raynham MA 02767
City State Zip
508-880-0223 ext.
Telephone Number
Michael Dillen 11173
Certified Operator Name Certification Number
C. Facility/System Information
24428 Bio-Microbics, Inc. MicroFAST .5
DEP ID- Manufacturer ID Model Number
01/04/2005
Installation Date Start of Operation
Approval Type: 0 General 0 Provisional Q Piloting ®Remedial
Seasonal Residence—used less than 6 mo./year: 0 Yes ®No
D. Operating Information
01/27/2006
Inspection Date Previous Inspection Date
Sludge Depth(to be checked yearly) Pumping Recommended 0 Yes ®No
DEPMicroFASTnew.doc-2/22/06 Page 1 of 3
W 71M
Massachusetts L dartment of Environmental Protet._.)n
L 1�i DEP Bureau of Resource Protection - Title 5
Approved Inspection and O&M Form for Title 5 I/
Treatment and Disposal Systems
4622
E. Field Testing
Field Inspection
Color: ®gray 0 brown ®clear Q turbid
0 other(specify):
Odor: 0 musty ®earthy Q moldy 0 offensive 0 turbid
Effluent Solids: ®no 0 some
pH 6.0 SU DO 9.94 mg/L. Turbidity 3.23 NTU
6 tog 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:
330
9Pd
Parameters sampled: 0 pH Q BOD 0 CBOD 0 TSS 0 TN 0 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,,,Splash Recycle
Notes and Comments:
DEPMicroFASTnew.doc-2/22/06 Page 2 of 3
Massachusetts L ,jartment of Environmental Protek. in
Ll DEP Bureau of Resource Protection o Title 5
Approved Inspection and O&M Form for Title 5 I/
Treatment and Disposal Systems
4622
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.
Michael Dillen 01/27/2006
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
DEPMicroFASTnew.doc•2/22/06 Page 3 or 3
1
4Q1 1 ® ' 1 1 NCORPORATED
8450 Cole Parkway m Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 4622
e-mail: onsite 5-biomicrobics.com m www.biomicrobics.com m 800-753-FAST(3278)
FIELD INSPECTION & SERVICE REPORT
For Bio-Microbics Single Home FASTO System
INSTALLATION AUTHORIZED SERVICE PROVIDER
43 Mill Road
Installation Address North Andover,MA 01845 Name Wastewater Treatment Services,Inc.
Owner Name Karl Kober Street
Mail Address: Mail Address 44 Commercial Street
43 Mill Road Raynham, MA 02767
North Andover,MA 01845 City State Zip
508-880-0233 508-880-7232
We617967-1298 298 Fax e-mail Phone Fax e-mail
INSTALLATION INFORMATION
No. Serial No. Date of Installation Date of last pump out
.5 24428 01/04/2005
YES NO MAINTENANCE PERFORMED AND COMMENTS
s arm Operating 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
Aerobic Treatment Zone
EFFLUENT(optional) LIMIT RESULT
Estimated Daily Flow 330 gpd.
H Standard Units
Color Clear
Temperature
Odor Earth
Comments:
TECHNICIAN SERVICE DATE
Michael Dillen 01/27/2006