HomeMy WebLinkAboutCorrespondence - 333 RALEIGH TAVERN LANE 11/11/1998 j & R S & SERVICE, INC.
November 11, 1998.
North.Andover Board of Health s
146 Main Street
North.Andover, MA 01 845
Attention: Health.Agent
Reference: Single Home FAST Treatment
Serial Number: MCF 156
Attached please find a copy of the Product Registration Report for the FAST Treatment
System for work performed on 11/5/98 at the home of Thomas Shea located at 33
Raleigh 'T'a,vern.Lane. Also, attached is a copy of the fully executed Inspection &
Effluent Testing Agreement.
If you have any questions or require additional information please do not hesitate to call.
Sincerely,
Candy Gaymes
Attachments
Post Commenc al S1.
R ayrnharrri,MA 027197
110 51'994 819 9b60
6 n "iGH HO IT32
I N C 0 R P 0 R A T E 0
8271 Melrose Drive - Lenexa, KS 66214 - Phone: 913-492-0707 - Fax: 913-492-0808
e-mail: onsite®biomicrobics.com - www.biomicrobics.com • 800-753-_FAST(3278)
PRODUCT REGISTRATION REPORT
Product Registration Report must be completed and returned to Bio-Microbics, Inc. in order to effect warranty.
Date of Installation //'S=gy' Date Shipped to End User 10/26/98 Serial No. MCF156
OWNER
NAME Tomas & MaryBeth Shea
ADDRESS J:3:3 Raieigh Tavern Lane
CITY/STATEIZIP North Andover MA 01845
PHONE/FAX 978-262-8674 _ __
610-MICROBICS DISTRIBUTOR
NAME
ADDRESS 44 Commercial Street
CITY/STATE/ZIP Raynham. MA
PHONE/FAX 508/823-9566 FAX 508/880-7232
INSTALLER:
NAME J. Soucy
ADDRESS
CITY/S T ATE!ZIP
PHONE/FAX 978-375-4195
CONSULTING ENGINEER;ifapplicable),.
NAME New England Engineering
ADDRESS Ben Osgood
CITY/STATEIZIP
PHONEIFAX 978-686-1768
Good Bad NA Good Bad NA
ELECTRICAL PANEL(S) TREATMENT UNIT(S)
Visual Alarm Operating Air vent clear [
Audio Alarm Operating Q Q Septic tank level
BLOVNJER(S) Septic tank meets min. size [.
Wired for correct voltage [J Septic tank filled to
operating level
Inlet/outlet piped correctly v ID Air Lift Operation
Filter clement installed [�' �{ Recirculation tube in place 0- [�
Blower hood secure �' 0 Fasteners tight 24— Q
Blower works correctly Lam' 0 WATER-TIGHT JOINTS
. Blower located within 100' of (.j- Treatment unit to septic tank 0-
treatment unit
Air line clear 2' 0 Entrance tube to insert cover 9— 0 0
Air inlet screen clear 2�1' I,_"! Insert to insert cover 9' 0
Blower hood vents clear Discharge line connection 19 o
Factory Authorized Perscnnel: Everett _ Title: Service Manager
Firm: J&R Sales and Service, nc. _ Date:
Oct 15 19 12: 59p JEER Engineered Products 508 880-7232 p. 2
Please complete all items marked
mail signed original contract to:
J&R Sales&Service Inc,
44 Commercial Street
Ra MA 02767
-j & R SAl1:S & S1=ItylCF, 1NC.
INSPECTION& EFT TEEING AGREEMENT
This Inspection Agreement is entered into by J&R Sales& Service
nc.
System OWNER(herein called OWNER), for the e' (herein call J&R) and the FAST`®
J&R's obligations to inspect OWNER's equipment listed beIow.�mg terms and conditions governing
Upon acceptance of this agreement,J&R will render the following services only:
Equipment will be inspected at Ieast 4 times per year that this Agreement
inspection beginning . These inspection will include: remains effect, with the first
1) Testing of the sludge depth in the septic tank,
2) Inspection,power testing and clean/replace intake filter of the air blower.
3) Inspection of the alarm system,
4) Inspect over-all condition of FAST'®System.
5) Notify OWNER of any problems encountered.
6) Service other than routine maintenance will be billed at an hourly rate plus travel and material.
J&R shall notify the local board of health and the Department of Environmental Protection in writin within
hours of a system failure or alarm event including corrective measures that have been taken. g 24
It is understood that by this Agreement J&R is not obligated to supply an
8 PP Y Y parts. Any additional labor time
will be billed to the OWNER at
standard labor rates of$.64.00 per hour,
Emergency service between regular.inspections will be provided at standard rates for labor during normal
business hours, after 5:00 PM and on Saturdays time and one-hall;and double time on Sundays and holidays,
minimum four(4)hours plus standard charges for parts plus mileage and travel charges. This agreement
not include-expenses to repair damage caused by abuse,accident,theft,acts of a third_ f does
or altering the equipment. J&R shall not be responsible for failure to render the service forcauses beyond its
control,including strikes and labor disputes.
44 Commeiciaf Si.
AdIV0116m.MA 02761
ieL•508 827.9566
FU:508.880.7272
Oct 15 19 12: 59p J&R Engineered Products 508 880-7232 p. 3
OWNER understands and agrees that J&R is not responsible for special or Consequential dam es '
loss of time, injury to person or property unit or equipment failure. a8 , including
-This agreement is not assignable without the consent ofJ&R and will remain in force until canceled by either
Party through written notice.
This is a two year service contract to be billed annually in compliance with State regulations. Fail
will result in cancellation and nullification of any warranties. ire to comply
MANUFACTURER MODS NO. SERIAL NO, LOCEITION
Bio-Microbics Home FAST AhMLAL RATE
�9G'F/13Ir Boxford, MA $350.00
�UIPMENT O R
� J&R Sales& Service Inc.
*Signet b
Signed b .
*Address: Marybe . Shea 44 Comm rcial Street
333 Raleigh Tavern Lane Raynham, MA 02767
Tel: (508)823-9566
North Andover, MA 01845 Fax: (508) 880-7232
*City: State: Zip:�_
978-686-0626
*Telephone: Effect Date of A
greement J/—5-9�
Effluent Testing
Effluent sample taken 4 times per year, delivered to a qualified testing lab for evaluation and with results
being sent to State and local Agencies as well as the owner. Owner is responsible for providing acceptable
access to effluent to enable a grab sample to be taken for laboratory testing performed:
PERMIT :
*(PLEASE CHECK ONE) ( ) GENERAL ( X) REMEDIAL ( ) PROVISIONAL
*SPECIAL CONDITIONS PER LOCAL BOARD OF HEALTH (y)or(N)If YES,please attached copy of permit
(X)BOD5,TSS,pH ( )pH,BOD5 ,TSS,TKN,NO3 -N, Ammonia ( )Other
Cost for testing $150.001v16t
Operator assigned: William Everett
Telephone: 508 82 -9566 *Engineer:
*Approval for Effluent Test- {
Homeowner' ignature