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Home My WebLink AboutMiscellaneous - 66 JEFFERSON STREET 4/30/2018 (2) 66 JEFFERSON STREET 21.0/923.0-0004-0061.H rT Commonwealth of Massachusetts OCT 0 2 2313 City/Town Of TOWN OF NORTH ANDOVER System Pumping Record HEALTH DEPARTMENT Form 4 DEP has provided this form for use*by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using.this form, check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left/ I t cont of hous , Left/Right rear of house, Left/right side of house, Left/ Right side of building, Left/Right cont of building, Left/Right rear of building, Under deck Address izlA f\� City/Town State Zip Code 2. System Owner. i . .14P Name _ Address(if different from location) Citylrown Statet34jQCode Telephone Number i B. Pumping Record 1. Date of Pumping 2. Quantity Pumped: Date Gallons i 3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes No If yes, was it cleaned? ❑ Yes ❑ No. 5. Condition of System: lu I C, V\ 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Location where contents were disposed: �- Lowell Waste Water Q4Y UO- ). _J Sign a I-HauleiU Date i t5form4.doc•06/03 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts City/Town of W.� 'ED System Pumping Record Form 4 5211 15 F N0R qN� G DEP has provided this form for use by local Boards of He If s sed, but the information must be substantially the same as that provid ore using this form, check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left Right �ront , Left/Right rear of house, Left/right side of house, Left/ Right side of building, Le ilding, Left/Right rear of building, Under deck Address Cityrrown - 2. System Owner. Name / I Address(if different from location) � ✓ r City/Town i B. Pumping Record ry 1. Date of Pumping Date I i 3. Type of system: ❑ Cesspool(s) C,—, ..-.w.... .�_.... ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes r� o If yes,was it cleaned? ❑ Yes ❑ No 5. Condition of System: 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Lo ere contents were disposed: G.L S: Lowell Waste Water signitufe I Haute Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts . City/Town of � ��ED System Pumping Record Form 4�.9- n." . M v i r- 0 f�NpCVER DEP has provided this form for use by local Boards of He ( ' r Vis' ed, but the information must be substantially the same as that provid a ore using this form, check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left Rig tl o�ront , Left/Right rear of house, Left/right side of house, Left/ Right side of building, Le ilding, Left/Right rear of building, Under deck Address Cityrrown (P rState �. Zip Code 2. System Owner. Name Address(if different from location) Cityrrown State= Wode v Telephone Number B. Pumping Record P 9 1. Date of Pumping Date 2. Qu ' Pumped: Gallons 3. Type of system: ❑ Cesspool(s) ET Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes o If yes,was it cleaned? ❑ Yes ❑ No 5. Condition of System: 1 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number IIS Bateson Enterprises Inc Company 7. Lo ere contents were disposed: G.L S. Lowell Waste Water 5ignAtufe qfHaule Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 a 603-893-4260 1-800-637-2366 - - - `' > r - - - NEW ENGLAND RADON, LTD. r 373 Main Street �C Salem, New Hampshire 03079 LABORATORY ANALYSIS RESULTS DATE: October 1 , 1988 RADON RESULTS FOR: Terry Nevans Village Green Condos North Andover MA 01845 TEST SITE: A. T. Retjos 66 Jefferson Street North Andover MA 01845 Code No. Cp i /L Location 6748 4. 2 Basement The result of this measurement indicates that there is the potential that you may have a radon problem. The EPA recommends that follow-up tests be conducted when the screening test result is 4 pCi /L or above to give you a better idea of the average radon concentration in your home. In most cases the screening measurement is not a reliable measure of the average radon level to which you and ,your family are exposed. It is however, an effective way of separating those houses which may have a problem from those that do not. We recommend that you make follow-up measurements before ,you make any decisions about whether to undertake major efforts to correct the potential problem. Follow-up measurements should be made in at least two lived in areas of ,your. home. If your home has lived-in areas on � more than one floor, you should make measurements in a room on each of the floors. An example is to take a mesurement in the living-room of the first floor and another in a second-floor bedroom. Because of the seasonal variation of radon levels , measurements should be made during each of the seasons . If you have a private well , we also recommend that you test your water for radon contamination . y LJ. F The following information is to help you understand the results of your radon screening test. (Data based on studies conducted by the F. University of Pittsburgh and information supplied by the EPA) . ' On average basements have 2-3 times higher concentrations than other rooms in the house. However, there are cases where there is very t little difference in the concentration levels between the basement t . and the other . rooms in the house. Examples of this are homes with private wells where radon may be entering the house via the water y, supply. In this less common situation, the radon concentration might be higher in the living areas than in the basement. It is estimated that the mean radom level ( roughly half are higher, half . are lower ) in the living areas of a house, in European and North American homes is about 1 . 0 pCi/L and the average level is 1 . S pCi/L. This average varies substantially with geography. Some counties in the U. S. average 5-8 pCi/L. In most studies, about 15% of all houses have over twice the average level , 4% have over 4 times the average, and about 1% have over 10 times the average. Radon levels in summer . are typically only about 60% of those in g, Winter in the same house. Exposures to radon decay products are often expressed in "Working level " , WL. A rough conversion is 1 pCi/ liter = 0. 005 WL, or 1 WL = 200 pCi/ liter. A typical estimate is that a person spending 75% of his lifetime in a r house with a level of 1 pCi/ liter will have one chance in 300 of dying from lung cancer as a result of this exposure . The risk is directly proportional to the radon level ; e. g. if your reading was 10 pCi/ liter , your risk is 10 times higher, or one chance in 30. One way to reduce radon levels is to improve ventilation; doubling the rate of air exchange roughly cuts the radon level in half . An especially effective method is to open two windows in the basement and install a large fan ,in one of them, but this is not practical in cold weather. The Environmental Protection Agency, Office of - Radiation Programs (401 M St. , S. W. , Washington , DC 20460) distributes a booklet giving the latest information on techniques for reducing radon levels in homes . After you have adequately tested your home and have found that your average radon exposure is above 4 pCi/ liter and you would like specific advice or assistance in reducing those levels , . New England Radon, Ltd. provides full consultation services to analyse and recommend methods to reduce , those levels. If you have any questions or desire more information please call 1-800-NERADON or in N. H. 893-4260 or write New England Radon, Ltd. P. O. box 837; 373 Main Street, Salem, NH 03079. a , z