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Home My WebLink AboutInspection - 333 RALEIGH TAVERN LANE 1/1/2001 4.d. Co rimerc;i ,l ;street 0IT aynharn, MA 02707 i..el: (508) 880-0233 Fax: (508) 880-7232 December 17, 2001 North Andover Board of health 27 Charles Street North Andover, MA 01845 Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: MCF156 Attached please find the Field Inspection & Service Report (as required) for services performed on 11/29/01 at the home of Thomas Shea located at 333 Raleigh Tavern Lane North Andover, MA. Please call if you have any questions or require additional information. Si cerely, net M. Whitman Enclosures Copy to: Thomas Shea .NU Mmn,u r U'� COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL, PROTECTION ONE WINTER STREET, BOSTON, MA 0'1. 108 617.292.5500 DEP Approved Inspection and O&NI Form for Title 5 UA Treatment and Disposal Systems Installation Authorized Service Provider Installation Address: T 333 Raleigh Tavern Lan North Andover 4�asteu�ater �reabneizG J�rvrrces, Tito. Owner Name: s: 44 Commercial Street,Raynham,MA 02767 N(ail address: Thomas Shea Tel:(508)880-0233 Fax:(508)880-7232 333 Raleigh Tavern Lano.:North Andover,MA 018erator Name: —Telephone No.: 9782628674 I DEP No.: Mfr. No.: Cert.No.: Model No.: _ Installation Date: Start of Operation: `'VIICXU FMS I Approval Type: (Circle) Seasona idence—used less than 6 mo. year: (Circle) General Provisional Piloting Remedial Yes No I Operating Information Previous Inspection Date: �Inspect ion Date: Sludge Depth:(to be checked yearly) Pumping Recommended(Circle) i � Y es No Effluent Description: Attach copy of certified lab results. Check all that are required. Samples: Influent Effluent 1,4 Parameters: pH BOD TSS TN Other Other Other j' Description of Overall System Condition: 7and cription of any Maintenance Performed since Previous Inspection Dur ing this Inspection: Notes and Comments: I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached manufacturer's operation and maintenance checklist, and the information repotted is true, accurate, and complete as of the time of the inspection. I am a Massachusetts certified operator in accordance with 257 CNIR 2.00. Operator Signature Date System owner must submit Remedial Use—by January 31"of Department of Environmental this report, manufacturer's each year for the previous calendar Protection O&M checklist, and any year Attn: Title 5 Program required sampling results Piloting & Provisional Use - within One Winter Street, 6'" Floor to the local Board of Health 30 days of inspection date General Use—by September 30'h of Boston, �(.� 02 t08 and DEP as follows for each year for the previous 12 months each inspection performed: 511,01 i � ( Q 1 INCORPORATED 8450 Cole Parkway . Shawnee, KS 66227 a Phone 913-422-0707■ Fax: 912-422-0808 e-mail: onsite biomicrobics.com .www.biomicrobics.com . 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTS System INSTALLATION AUTHORIZED SERVICE PROVIDER 333 Raleigh Tavern Lane Installation Address North Andover,MA 01845 Owner Name Thomas Shea Mail Address 333 Raleigh Tavern Lane 44 Commercial Street,Aaynham,MA 02767 North Andover, MA 01845 Tel:(508)880-0233 Fax:(508)880-7232 city State Zip 9782628674 508-880-7232 Phone Fax e-mail Phone Fax e-mail ,' k, ;LI1tTS�'ALIA'kTOTt INIORMATTOI� 7 r '°�;{ Y Model No. Serial No. Date of Installation Date of last pumpout MCF156 11/5/98 E tiIIE'1trIEN'F Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration T reatment unit(s) Unusual Odor Pumpout Required: Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LEWF RESULT Estimated Daily Flow 3 Bedrooms H Standard Units 6-9 S.U. Color Clear Temperature Odor Slightly musty odor not septic) TECHNICIAN SIGNATURE SERVICE DATE :77,a Z-) , IM SALES SERVICE, I . August 21, 2001 North Andover Board of Health 27 Charles Street North Andover, MA 01845 Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: MCF156 Attached please find the Field Inspection& Service Report and test results (as required) for services performed on 8/7/01 at the home of Thomas Shea located at 333 Raleigh Tavern Lane -North Andover, MA. Please call if you have any questions or require additional information. S rely, J et M. Whitman i Enclosures Copy to: Thomas Shea 44 C;n wn¢rcW St. Raynharn,Mai 02761 We 500 923,9,"6 M'ax 508 880 7232 C O V q O Y E AL TH o p A SSA CH W SE rT s EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIR DEPARTrdENT OF ENvIRONNENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617.29'2.5500 f DEP Approved Inspection and O NI Form for "Title 5 VGA Treatment and Disposal Systems Installation Authorized Service Provider (nstallation Address: O&NI Firm: I' 333 Raleigh Tavern Lane: North Andover J & R Sales & Service, Inc, Owner Name: Mail Address: 44 Commercial Street I Mail Address: Thomas Shea Raynham, Ma 02767 333 Raleigh Tavern Lane Tale hone No.: q $23-9566 j North Andover, MA 01845 Certified Operator Name: Telephone No.: 9782628674 0, l 0� i DEP No.: Nlfr. No.: Can. No.: f Model No.: io PA icro FAS -F Installation Date: Start of Operation: Approval Type: (Circle) Seasona idence-used less than 6 tno. year: (Circle) General Provisional Piloting Remedial Yes No Operating Information ' Previous Inspection Date: inspect'on Date: Sludge Depth: (to be checked yearly) Pumping Recommended(Circle) Yes No Effluent Description: Attach copy of certified lab results. �} Check all that are required Samples: Influent Effluent Parameters: pH OD SS TN Other Other Other Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection and During this Inspection: D /J_ Notes and Comments: I certify: I have inspected the sewage treatment and disposal system at the address above, have completed this report and the attached manufa rer's operation and maintenance checklist, and the information reported is true, accurate, and complete as of the time of thf inspecti n. r a Mas chusetts certified operator in accordance with 257 CMR 2,00. er for Si ature Date System owner must submit Remedial Use- by January 31"of Department of Environmental this report, manufacturer's each vear for the previous calendar Protection O&M checklist, and any year Attn: Title 5 Program required sampling results' Piloting & Provisional Use • within One Winter Street, 6'" Floor to the local Board of Health 30 days of inspection date Boston, N[A 02108 and DEP as follows for General Use -by September 30 of each inspection performed: each year for the previous I2 months 511,01 Environmental Chemistry Environmental Services Site Assessment Site Sampling Quality Assurance Services Analytical $alnce Data Auditing C,; 0 R Y O R A T I 0 I�' CERTIFICATE OF ANALYSIS J&R Sales & Service REPORTED: 8/13/2001 44 Commercial Street Raynham, MA 02767 ORDER #: G0126905 COLLECTED BY: D. Koshiol SAMPLE DATE: 8/7/2001 TIME: 11:55 DATE RECEIVED: 8/7/2001 LOCATION: MCF 156 -North Andover, MA SAMPLE ID: Shea grab DESCRIPTION: WATER RESULTS OF ANALYSIS u, a. Test_Parameters LAB-ID#: 0126905-01 SM 5210B 8/8/2001 mg/L 4 1- 16.4 pH------ - — ---- SM 4500 H+B j 8/7/2001 S.U. - 0-14 --6.9 (Solids,Suspended SM 2540 D j 8/10/2001 a - - mg/L 2 8.8 NA=Not Applicable - - ND=Not Detected 3�dJ <' = Less Than Approved By: *' = Detection Limit La�anager Date Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page' 1 XI N=CO R P U R M4T E fl 8450 Cole Parkway Shawnee, KS 66227 ®Phone 913-422-0707 ® Fax: 912-422-0808 e-mail: onsile@biomicrobimcom m www.biomicrobics.com ® 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single .Home FASTO System INSTALLATION AUTHORIZED SERVICE PROVIDER 333 Raleigh Tavern Lane Installation Address North Andover, MA 01845 Name J&R Sales& Service, Inc. Owner Name Thomas Shea Street Mail Address 333 Raleigh Tavern Lane Mail Address 44 Commercial Street North Andover, MA 01845 Raynham, MA 02767 Ci State Zi2 city State Zip 9782628674 508-823-9655 508-880-7232 Phone Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of installation Date of last pumpout MCF156 11/5/98 EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating (if resent) Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive"vibration Treatment unit(s) Unusual Odor Pum out Required: Primary Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 3 Bedrooms H(Standard Units) 6-9 S.U. Color Clear -Temperature Odor Slightly musty odor (not septic) TECHNICIAN Sl AT 'RE SERVICE DATE d SALES & SERVICE, INC. May 15, 2001 `;"f i� f North Andover Board of Health 27 Charles Street North Andover, MA 01845 Attention: Health Agent Reference: Single Home FAST° Treatment System Serial Number: MCF156 Attached please find the Field Inspection& Service Report (as required) for services performed on 5110101 at the home of Thomas Shea located at 333 Raleigh Tavern Lane - North Andover, MA. Please call if you have any questions or require additional information. Sin erely, net M. Whitman Enclosures Copy to: Thomas Shea CC Cvmnmia8 k Rayaliarn,MA 02267 'Cola.509 823 95Ns'fli Fax 508-080 72:3I r ( Q 1 I N f, 0 R P 0 R A T E 0 8450 Cole Parkway . Shawnee, KS 66227 . Phone 913-422-0707 . Fax: 912-422-0808 e-mail: onsite6a.biomicrobics.com .www.biomicrobics.com . 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTO System INSTALLATION AUTHORIZED SERVICE PROVIDER 333 Raleigh Tavern Lane Installation Address North Andover, MA 01845 Name J&R Sales&Service, Inc. Owner Name Thomas Shea Street Mail Address 333 Raleigh Tavern Lane Mail Address 44 Commercial Street North Andover, MA 01845 Raynham, MA 02767 City State Zip city State Zip 9782628674 508-823-9655 508-880-7232 Phone Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pumpout MCF156 11/5/98 EQUIPMENT YES NO MAINTENANCE PERFORMED AND COIvIIWWS Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if resent) Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment unit(s) Unusual Odor Pum out Required: Primary Settling Zone Aerobic Treatment Zone {� EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 3 Bedrooms H(Standard Units) 6-9 S.U. Color Clear Temperature Odor Slightly musty odor (not septic) EC ICIA IGNA SERVICE DATE IM SALES & SERVICE, INC. March 12, 2001 North Andover Board of Health 27 Charles Street North Andover, MA 01845 Attention: Health Agent Reference: Single Home FAST(] Treatment System Serial Number: MCF156 Attached please find the Field Inspection& Service Report (as required) for services performed on 2/26/01 at the home of Thomas Shea located at 333 Raleigh Tavern Lane - North Andover, MA. Please call if you have any questions or require additional information, i cerely, , �� c �1 net M. Whitman Enclosures Copy to: Thomas Shea WR 15 1 44 Commercial°'it. R aynlaw,MA 0276/ Nrlu.508 823 95GG Fax 5013 Q1V9O 7232 S QX1t N C 0 R PO R A T 5 CO) 8450 Cole Parkway w Shawnee, KS 66227 a Phone 913422-0707 ® Fax: 912422-0608 e-mail: yngite iomigcrobio &gM W m6m,bigmiorobics,com r, 800-753FAST(3278) FIELD INSPECTION & SERVICE REPORT For io-Microbies Single Dome FAST(R) System INSTALLATION AUTHORIZED SERVICE PROVIDER. 333 Raleigh Tavern Lane Installation Address North Andover, MA 01845 Name J&R Sales&Service, Inc. Owner Name Thomas Shea Street Mail Address 333 Raleigh Tavern Lane Mail Address 44 Commercial Street North Andover, MA 01845 Raynham, MA 02767 City State Zi Ci State Zip 9782628674 508-823-9655 508-880-7232 Phone Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No, Date of Installation Date of last pumpout MCF156 11/5/98 EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panel(s) Visual Alarm O eratin Audio Alarm Operating if resent) Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment unit(s) Unusual Odor Pum out Re aired: Prima Settling Zone Aerobic Treatment Zone EFFLUENT(optional) LEMTr RESULT Estimated Daily Flow 3 Bedrooms H(Standard Units) 6-9 S.U. Color Clear Temperature Odor Slightly musty odor (not se tic) /-TRCHNIC,IAN S[ ATURE SERVICE DATE