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HomeMy WebLinkAboutInspection - 43 MILL ROAD 1/1/2008 44 Commercial Street Raynham,MA 02787 Tel: (508)880.0233 Fax: (508)880-7232 March 6, 2008 l i f North Andover Board of Health 1600 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 field test results for services performed on 01/07/2008 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 DEP LAMassachusetts 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 A. Installation Important: Mary 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 cursor-do not 01845 use the return City Zip key. Mailing address of owner, if different: _ 43 Mill Road Street Address/PO Box: North Andover MA 01845 City State Zip 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 Model Number 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 01/07/2008 Inspection Date Previous Inspection Date Sludge Level Pumping Recommended 0 Yes ®No DEPMicroFASTnew.doc•3/6/08 Page 1 of 3 Massachusetts Department of Environmental Protect..,n Bureau of Resource Protection - Title 5 DP Approved Inspection and O&M Form for Title 5 1/ Treatment and Disposal Systems 8953 E. Field Testing Field Inspection Color: 0 gray 0 brown ®clear Q turbid 0 other(specify): Odor: Q musty Q earthy 0 moldy 0 offensive 0 turbid Effluent Solids: 0 no 0 some pH 7.0 SU DO mg/L. Turbidity 4.8 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 Q 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, , , , Notes and Comments: Septic tanks empty-recently pumped. DEPMicroFASTnew.doc-3/6/08 Page 2 of 3 Massachusetts Department of Environmental Protec ,_n Li 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 01/07/2008 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 31st of each year for the previous calendar year Piloting Use—within 45 days of inspection date Provisional Use—by March 31't of each year for the previous 12 months General Use—by September 30`h of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6`h Floor Boston, MA 02108 DEPMicroFASTnew.doc•3/6/08 Page 3 of 3 I N C 0 R P 0 R A T E 0 8450 Cole Parkway m Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 8953 e-mail: onsite(cDbiomicrobics.com m www.biomicrobics.com m 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTS 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: 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 1/1/2008 12:00:00 AM 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 X Pum out Required: X Primary Settling Zone " Aerobic Treatment Zone " EFFLUENT o tional LIMIT RESULT Estimated Daily Flow 330 gpd. H Standard Units Color Clear -Temperature Odor Comments: Septic tanks empty-recently pumped. TECHNICIAN SERVICE DATE David Koshiol 01/07/2008 44 Commercial Street Raynham,MA 02767 Tel: (508)880.0233 Fax: (508)880-7232 July 3, 2008 .... North Andover Board of Health 1600 Osgood Street t�!O�"z i i r.r�i ✓ a North Andover, MA 01845 A' Attention: Health Agent Reference: FAST Wastewater Treatment System - Serial Number: 24428 Attached please find the Field Inspection & Service Report with field test results for services performed on 06/19/2008 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 DEP Massachusetts Dep irtment of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/ Treatment and Disposal Systems 10601 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 iedn City State Zip ext. Telephone Number B. Authorized Service Provider Wastewater Treatment Services Inc. O&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 Sio-Mi^robics, Inc. MicroFAST .5 DEP ID Manufacturer ID Model Number 01/04/2005 Installation Date Start of Operation Approval Type: 0 General 0 Provisional 0 Piloting ®Remedial Seasonal Residence—used less than 6 mo./year: 0 Yes ®No D. Operating Information 06/19/2008 Inspection Date Previous Inspection Date Sludge Level Pumping Recommended 0 Yes ®No S DEPMicroFASTnew.doc•7/3/08 Page 1 of 3 Massachusetts DeNdrtment of Environmental Protection Bureau of Resource Protection -Title 5 DEP Approved Inspection and O&M Form for Title 5 I/ Treatment and Disposal Systems 10601 E. Field Testing Field Inspection Color: 0 gray Q brown ®clear 0 turbid 0 other(specify): Odor: Q musty ®earthy Q moldy 0 offensive 0 turbid Effluent Solids: ®no Q some pH 7.0 SU DO 8.8 mg/L. Turbidity 3.3 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 Q Influent 0 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 0 BOD Q CBOD Q TSS Q 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: DEPMicroFASTnew.doc-7/3108 Page 2 of 3 Massachusetts De,-.Ament of Environmental Protection DEP LiBureau of Resource Protection - Title 5 Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 10601 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 06/19/2008 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 318t 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•7/3/08 Page 3 of 3 U421=RPORATED NC 8450 Cole Parkway m Shawnee, KS 66227 w Phone 913-422-0707 m Fax: 912-422-0808 10601 e-mail: onsiteCa)_biomicrobics.com w www.biomicrobics.com m 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® 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: Fax e-mail I Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out MicroFAST.5 24428 01/04/2005 1/1/2008 12:00:00 AM 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 Treatment unit(s) Unusual Odor X Pum out Required; X Primary Settling Zone 12" Aerobic Treatment Zone 10" EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 330 gpd. H Standard Units Color Clear Temperature 64.8 Odor Earth Comments: TECHNICIAN SERVICE DATE David Koshiol 06/19/2008