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Inspection - 43 MILL ROAD 7/2/2007
44 Commercial Street Raynham, MA 02767 Tel: (508) 880.0233 Fax: (508)880-7232 July 12, 2007 North Andover Board of Healtht 1600 Osgood Street North Andover, MA 01845 � d_. 3 2,001 Attention: Health Agent J Reference: FAST' Wastewater Treatment System Serial Number: 24428 Attached please find the Field Inspection & Service Report and test results for services performed on 07/02/2007 at the property of Mary 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: Mary Kober 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 8953 A. Installation Important: Mary Kober When filling out Owner forms on the computer,use 43 Mill Road only the tab key Facility Street Address to move your North Andover 01845 cursor-do not City Zip use the return key. Mailing address of owner, if different: � 43 Mill Road Street Address/PO Box: North Andover _ MA 01845 _ nnm 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 David Koshiol 2976 Certified Operator Name Certification Number C. Facility/System Information 24428 Bio-Microbics, Inc. MicroFAST .5 DEP ID Manufacturer ID Modei Nurnber 01/04/2005 Installation Date Start of Operation Approval Type: Q General 0 Provisional 0 Piloting ®Remedial Seasonal Residence—used less than 6 mo./year: 0 Yes ®No D. Operating Information 07/02/2007 Inspection Date Previous Inspection Date 28" Pumping Recommended ®Yes 0 No Sludge level DEPMicroFASTnew.doc•7112/07 Page I of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 EP Approved Inspection and OM Form for Title 5 I/ Treatment and Disposal Systems 8953 E. Field Testing Field Inspection Color: 0 gray 0 brown ®clear 0 turbid Q other (specify): Odor: 0 musty ®earthy 0 moldy 0 offensive Q turbid Effluent Solids: ©no 0 some pH 7.0 SU DO 5.9 mg/L. Turbidity 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: 330 gpd Parameters sampled: 0 pH 0 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, , , Checked Splash Recycle, Notes and Comments: System needs to be pumped. Dividing wall cover and pump chamber need to be brought to grade. Letter sent to owner. DEPMicroFASTnew.doc•7/12/07 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 8953 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 07/02/2007 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 31 st 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-7/12/07 Page 3 of 3 Q INCORPORATED 8450 Cole Parkway o Shawnee, KS 66227 w Phone 913-422-0707 w Fax: 912-422-0808 8953 e-mail: onsite(ctWomicrobics.com zu www.biomicrobics.com W 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: Mary Kober 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 Phone: 617-967-5298 Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out MicroFAST.5 24428 01/04/2005 EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panel(s) Visual Alarm 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 28" Aerobic Treatment Zone 18" EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 330 gpd. H Standard Units) Color Temperature 69.7 Odor Earth Comments: System needs to be pumped. Dividing wall cover and pump chamber need to be brought to grade. Letter sent to owner. TECHNICIAN SERVICE DATE David Koshiol 07/02/2007