HomeMy WebLinkAboutInspection - 369 SALEM STREET 2/8/2002 r; y.,r
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F3'apharn, MA
02 767
TO: (508) 880-0233
Fax: (508) x!!380-7232
February 19, 2002J
North Andover Board of Health
27 Charles Street
North Andover, MA 01845
Attention: Health Agent
Reference: Single Home FAST`O Treatment System
Serial Number: SHF13
Attached please find the Field Inspection & Service Report (as required) for services
performed on 2/8/2002 at the home of Amit Banetji located at 369 Salem Street -North
Andover, MA.
Please call if you have any questions or require additional information.
Sine ely,
J4et M. Whitman
Enclosures
Copy to: Amit Banerji
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
ONE WINTER STREET, BOSTON, MA 0'2108 617.292.5500
DEP Approved Inspection and O&NI Form for Title 5 VA Treatment and Disposal Systems
Installation Authorized Service Provider
Installation Address: 369 Salem Street: O&M Firm:
North Andover
MA 4�as�-cuater ,greatine�G Je�.� 9n�
Owner Name: Mail Address:
Amit BanerJi 44 Commercial street,Raynham,MA 02767
Mail Address: 369 Salem Street Tel:ON)880-0233 Fax:(508)880-7232
North Andover,MA 01845 Telephone No.:
9785579154 Certified Operator Name:
Telephone No.:
DEP No.: .[..Mfr. No.: 11517W 13 Cert.No.: 7 J
Model No.: Installation Date: Start of Operation:
M I cro FAST 9/4/98
Approval Type: (Circle) Seasonal ence-used less than 6 mo./year: (Circle)
General Provisional Piloting Remedial Yes No
Operating Information
Previous Inspection Date: Inspection Date: Sludge Depth:(to be checked yearly) Pumping Recommended(Circle) i
Yes No
Effluent Description: Attach copy of certified lab results.
Check all that are required
Samples:Influent Effluent
Parameters: pH BOD TSS TN
Other Other Other
Description of Overall System Condition: Description of any Maintenance Performed since Previous Inspection
b � and During 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 manufactur 's operation and m intena a checklist, and the information reported is true, accurate, and complete as
of the time of the in ection. I a M achu s certified operator in accordance with 257 CMR 2.00.
�-- 9. d 2
Op for ignature Date
System owner must submit Remedial Use-by January 3l"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 & Provision l Use within One Winter Street, 6"' Floor
to the local Board of Health 30 days of inspection date h Boston, M.� 02108
and DEP as follows for General Use-by September 30 of
each inspection performed: each year for the previous 12 months
5/1/0l
M
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INCORPORATED
8450 Cole Parkway■ Shawnee, KS 66227 ■Phone 913-422-0707 ■ Fax: 912-422-0808
e-mail: onsiteAbiomicrobics.com a www.biomicrobics.com ■ 800-753-FAST(3278)
FIELD INSPECTION & SERVICE REPORT
For Bio-Microbics Single Home FAST® System
INSTALLA ON
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369 Salem Street
Installation Address North Andover,MA 01845 4�curei��ieatmcizG�1(rsvice�, .�ir�
Owner Name Amit Baner i
Mail Address 369 Salem Street 44 commercial Street,Raynham,MA 02767
North Andover, MA 01845 Tel:(506)880-0233 Fax:(506)880-7232
city State Zip
9785579154 ___ _ __ 508-880-7232
Phone Fax e-mail �+ /►fir Phone Fax e-mail
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Model No. Serial No. Date of Installation Date of last pumpout
SHF13 9/4/98
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Electrical Panel(s)
Visual Alarm Operating
Audio Alarm Operating
if resent /J
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) Luffr RESULT
Estimated Daily Flow 4 Bedrooms
H(Standard Units) 6-9 S.U.
Color Clear
Temperature
Odor Slightly
musty odor
(not se tic)
TECHNICIAN SI NA SERVICE DATE
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