Loading...
HomeMy WebLinkAboutInspection - 43 MILL ROAD 1/1/2005 ................. ...... ............. 44 (',oirvrwreial SO'ed, Flapharfi, MA 02'767 Tel, (508) 8130-0233 R E(""0"E-Iil I V OrE Fax: (508) 880-7232 April 22, 2005 AFT 2 7 2005 TOWND NGRHIAx'U)C)VER HEALIH DEPARIMENr North Andover Board of Health 27 Charles Street North Andover, MA 01845 Attention: Health Agent Reference: Single Home FAST Treatment System Serial Number: 24428 Attached please find the Field Inspection& Service Report and test results for services performed on 04/11/2005 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 Enviror;mental Chemistry Environmental Services Site Assessment Site Sampling Quality Assurance Services An lytieal Balance Data.Auditing C O R P R A 1' 1 O N Wastewater Treatment Services, Inc. CERTIFICATE OF ANALYSIS 44 Commercial Street REPORTED: 04/19/2005 Raynham, MA 02767 ORDER#: G0569960 COLLECTED BY: K.Usilton SAMPLE DATE: 4/11/2005 TIME: 12:15 DATE RECEIVED: 4/11/2005 LOCATION: 43 Mill Road,N.Andover, MA SAMPLE ID: Kober Grab (24428) DESCRIPTION: WATER RESULTS OF ANALYSIS r p mod+ Parameter' r, 4' r -rx ,.; � 111�.5 � f{'t'' tdmtvt?x�'`� na� � yIFtr-,ctr' '" a ?.�,.�'# i r,r�,. 9 'sms.,r.,4-''``�.�,.:.'�� ,Cain �,.. r= z.bra*�'✓y-..� �,x-r -M „� cr a Ta ova .2..,� r "r-�,. �N+ .�... �Test Parameters LAB-tD#: 0569960-01 BOD SM 5210B 04/13/2005 mg/L pH 4 S.U. <4.0 0-14 '7.3 Solids, Suspended SM 2540 D 04/14/2005 1 mg/L 4 <4.0 NA=Not Applicable ND=Not Detected <' = Less Than Approved By *' = Detection Limit i LalUv(anager(�Q/ Date g `j �1 .....rrr rrrrr.rrrrr.ru... '. Paget of[ Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Massachusetts Ldpartment of Environmental ProteL.,ion Bureau of Resource Protection - Title LA 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems -- 4622 A. Installation Important: Karl 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 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 (617-967-5298 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 Kevin Usilton 12530 Certified Operator Name Certification Number C. Facility/System Information 24428 Bio-Microbics, Inc. MicroFAST .5 DEP ID Manufacturer's Name&ID Model Name&Number 01/04/2005 Installation Date Start of Operation Approval Type: _General _Provisional _ Piloting X Remedial Seasonal Residence—used less than 6 mo./year:_Yes X No D. Operating Information 04/11/2005 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended _Yes X No Color: Clear Odor: None Effluent Description DEPMicroFASTnew.doc-4/22/05 Page 1 of 2 Massachusetts Uepartment of Environmental Protevcion LA DEP Bureau of Resource Protection - Title 5 Approved Inspection and O&M Form for Title 5 I/ Treatment and Disposal Systems -- 4622 E. Sampling Information Samples Taken:— Influent X Effluent Parameters sampled: X pH X BOD X TSS—TN—Other(list below) Other 1 Other 2 Other 3 Description of any maintenance performed since previous inspection & during this inspection: Cleaned Filter,,,Splash Recycle, Notes and Comments: Also tested: F. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, 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. Kevin Usilton 04/11/2005 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 Piloting & Provisional Use- General Use—by September 31 st of each year for the within 30 days of inspection 30th of each year for the previous calendar year date previous 12 months Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston. MA 02108 DEPMicroFASTnew.doc-4/22/05 Page 2 of 2 1 INCORPORATED 8450 Cole Parkway Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 4622 e-mail: onsite(ftiomicrobics.com uj 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 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 Aerobic Treatment Zone EFFLUENT o tional LIMIT RESULT Estimated Daily Flow 3 Bedrooms H Standard Units Color Clear Temperature Odor None Comments: TECHNICIAN SERVICE DATE Kevin Usilton 04/11/2005 c.., at ,�"F'c�f . .. W.....�. ,.�... . . . .. .�����.. ��.v �����oo 44 Co rv�iwcial Stwet a F ay nhair'i, MA MR' �. �n �C���'� 02767 Fax: (508) 880­7232 August 5, 2005 I{arl Kober 43 Mill Road North Andover, MA 01.845 Reference: Wastewater Treatment System - Serial Number: 24428 Attached please find the Field Inspection& Set-vice Report and test results (as required) for services performed on 07/13/2005 at your property 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 Environmental Chemistry Environmental Services Site Assessment Anajam eal Balance Site Sampling Quality Assurance Services Data Auditing G O P R A T 1 0 N CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street REPORTED: 07/19/2005 Raynham, MA 02767 ORDER#: G0573458 COLLECTED BY: M.Dillen SAMPLE DATE: 7/13/2005 TIME: 12:00 DATE RECEIVED: 7/13/2005 LOCATION: 43 Mill Rd.,N.Andover, MA SAMPLE ID: Kober Grab (24428) DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters LAB-ID#: 0573458=01 BOD SM 5210B 07/14/2005 mg/L 4 <4.0 pH SM 4500 H+B 07/13/2005 S.U. 0-14 7.2 Solids,Suspended SM 2540 D 07/18/2005 mg/L ! 4 <4.0 NA=Not Applicable ND=Not Detected Approved By: �s <' = Less Than a anager DaO *' = Detection Limit JUL 2 2 Page i of i Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Massachusetts Department of Environmental Protection Li Bureau of Resource Protection d Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 4622 A. Installation Important: Karl 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 use the return City Zip key. Mailing address of owner, if different: r� 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. O&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's Name&ID Model Name&Number 01/04/2005 Installation Date Start of Operation Approval Type: _General —Provisional _Piloting X Remedial Seasonal Residence—used less than 6 mo./year:_Yes X No D. Operating Information 07/13/2005 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended _Yes X No Color: Clear Odor: None Effluent Description DEPMicroFASTnew.doc•8/4/05 Page 1 of 2 Massachusetts Department of Environmental Protection LLI Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 4622 E. Sampling Information Samples Taken:—Influent X Effluent Parameters sampled: X pH X BOD X TSS—TN—Other(list below) Other 1 Other 2 Other 3 Description of any maintenance performed since previous inspection & during this inspection: Cleaned Filter,,,Splash Recycle, Notes and Comments: Also tested: , , , . F. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, 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 07/13/2005 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 Piloting & Provisional Use- General Use—by September 31 st of each year for the within 30 days of inspection 30th of each year for the previous calendar year date previous 12 months Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston. MA 02108 DEPMicroFASTnew.doc•8/4/05 Page 2 of 2 INCORPORATED 8450 Cole Parkway m Shawnee, KS 66227 to Phone 913-422-0707 m Fax: 912-422-0808 4622 e-mail: onsite(cD-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 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 Aerobic Treatment Zone EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 3 Bedrooms H Standard Units Color Clear Temperature Odor None Comments: TECHNICIAN SERVICE DATE Michael Dillen 07/13/2005 44 Corrrrcierc:;ial Sfteet l apham, MA 02767 I'd: (508) 880-0233 Fax: (50 3) 880-7232 November 30, 2005 D EC 0 8 2 0((":( Hi"')j ,f North Andover Board of Health 400 Osgood Street North Andover, MA 01845 Attention: Health Agent Deference: FAST`S Wastewater Treatment System Serial Number: 24428 Attached please find the Field Inspection & Service Deport and test results for services performed on 10/26/2005 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 Environmental Chemistry Environmental Services Site Assessment ��r�n(+ Site Sampling Quality Assurance Services Analvoical Ba1Ca ce Data Auditing C O R P R A 11' 1 O T CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street REPORTED: 11/02/2005 Raynham, MA 02767 ORDER #: G0577871 COLLECTED BY: M.Dillen SAMPLE DATE: 10/26/2005 TIME: 10:30 DATE RECEIVED: 10/27/2005 LOCATION: 43 Mill Rd.,N.Andover, MA SAMPLE ID: Kober Grab DESCRIPTION: WATER RESULTS OF ANALYSIS M emu, Test Parameters LAB-[D#: 0577871-01 BOD SM 5210B 10/27/2005 mg/L 4 �— <4.0 pH SM 4500 H+B 10/27/2005 S.U. 0-14 7.0 Solids,Suspended SM 2540 D 10/31/2005 mg/L 1 4 1 <4.0 NA=Not Applicable ND=Not Detected Approved B <' = Less Than Manager / Date *' = Detection Limit NOV 0 4 2005 BY:-------------------- Page 1 or 1 Ana/yNca/Balwice Corp., 422 West Grove Street, Middleboro, MA 023.16 Ph: 508-946-2225 NAassachusett apartment of Environmental Prote,.Jon Li Bureau of Resource Protection - Title 5 P Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 4622 A. Installation Important: Karl 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 use the return City Zip key. Mailing address of owner, if different: Q43 Mill Road Street Address/PO Box: North Andover MA 01845 City State Zip 1617-967-5298 ext. Telephone Number B. Authorized Service Provider Wastewater Treatment Services, Inc. 0&M Finn 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's Name&ID Model Name&Number 01/04/2005 Installation Date Start of Operation Approval Type: _General _Provisional _Piloting X Remedial Seasonal Residence—used less than 6 mo./year:_Yes X No D. Operating Information 10/26/2005 Inspection Date Previous Inspection Date Sludge Depth(to be checked yearly) Pumping Recommended _Yes X No Color: Clear Odor: None Effluent Description DEPMicroFASTnew.doc-11/30/05 Page 1 of 2 Massachusetts k,®partment of Environmental Prote%Aon Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/ Treatment and Disposal Systems 4622 E. Sampling Information Samples Taken:— Influent X Effluent Parameters sampled: X pH X BOD X TSS—TN—Other(list below) Other 1 Other 2 Other 3 Description of any maintenance performed since previous inspection &during this inspection: Cleaned Filter,,,Splash Recycle, Notes and Comments: Also tested: , , , . F. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, 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 10/26/2005 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 Piloting & Provisional Use- General Use—by September 31St of each year for the within 30 days of inspection 30th of each year for the previous calendar year date previous 12 months Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston. MA 02108 DEPMicroFASTnew.doc• 11/30/05 Page 2 or 2 r INCORPORATED 8450 Cole Parkway to Shawnee, KS 66227 to Phone 913-422-0707 to Fax: 912-422-0808 4622 e-mail: onsite(afbiomicrobics.com m www.blomicrobics.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 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 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 Aerobic Treatment Zone EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 3 Bedrooms H Standard Units Color Clear Temperature Odor None Comments: TECHNICIAN SERVICE DATE Michael Dillen 10/26/2005