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HomeMy WebLinkAboutLab Test Results - 151 RALEIGH TAVERN LANE 9/29/2015 (2) 44 Commercial Street Raynham, MA 02767 Tel: (508)880-0233 Fax: (508)880-7232 U . October 19, 2009 i [OWN OF dOP, /V JD ut��/E [I� North Andover Board of Health 1600 Osgood Street North Andover, MA 01845 Attention: Health Agent Reference: FAST° Wastewater Treatment System - Serial Number: MCF215 Attached please find the Field Inspection & Service Report with field test results for services performed on 10/01/2009 at the property of David Pinson located at 151 Raleigh Tavern Lane -North Andover, MA. Please call if you have any questions or require additional information. Sincerely, G�7/2�2d�l�,lG�i? d�2Gl/�1idP✓�T`cJ�l/>r��GeE'O Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: David Pinson Massachusetts DEP Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 LA D Approved Inspection and O&M Form for Title 5 VA pp p Treatment and Disposal Systems 12889 A. Installation Important: David Pinson When filling out Owner forms on the computer,use 151 Raleigh Tavern Lane only the tab key Facility Street Address to move your North Andover 01845 cursor-do not City Zip use the return key. Mailing address of owner, if different: 19 151 Raleigh Tavern Lane - Street Address/PO Box: North Andover _ MA 01845 City I State Zip 978-681=6468 - Home 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 David Koshiol 2976 Certified Operator Name Certification Number C. Facility/System Information _MCF215 Bio-Microbics, Inc. MicroFAST .5 DEP ID Manufacturer ID Model Number + 09/21/1998 Installation Date Start of Operation Approval Type: 0 General 0 Provisional Q Piloting ® Remedial Seasonal Residence— used less than 6 mo./year: Yes ®No D. Operating Information 10/01/2009 -- Inspection Date Previous Inspection Date 6 Pumping Recommended 0 Yes ®No Sludge Level DEPMicroFASTnew.doc• 10/19/09 Page 1 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and OW Form for Title 5 I/A Treatment and Disposal Systems 12889 E. Field Testing Field Inspection Color: 0 gray Q brown ©clear 0 turbid 0 other (specify): Odor: 0 musty ©earthy Q moldy 0 offensive Q turbid Effluent Solids: ©no 0 some pH 7.0 SU DO 7.45 mg/L. Turbidity 2.8 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken Q Influent 0 Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen.reducing systems: 440 gpd Parameters sampled: 0 pH Q BOD 0 CBOD 0 TSS Q TN 0 Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection and during this inspection Cleaned Filter, , , Checked Splash Recycle, Notes and Comments: Alarm inside - not accessible. Opened up vent. DEPMicroFASTnew.doc•10/19/o9 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 I DEP Approved Inspection and ®&M Form for Title 5 I/A Treatment and Disposal Systems 12889 H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, 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. David Koshiol 10/01/2009 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 31st of each year for the previous calendar year Piloting Use—within 45 days of inspection date Provisional Use—by March 31 st of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston, MA 02108 Page 3 of 3 DEPMicroFASTnew.doc•10/19/09 I N C 0 R P 0 R A T E 0 8450 Cole Parkway a Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 12889 e-mail: onsite0lbiomicrobics.com wwww.biomicrobics.com Q 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTO System INSTALLATION AUTHORIZED SERVICE PROVIDER 151 Raleigh Tavern Lane Installation Address: North Andover,MA 01845 Name: Wastewater Treatment Services, Inc. Owner Name: David Pinson Mail Address: Mail Address: 44 Commercial Street 151 Raleigh Tavern Lane Raynham, MA 02767 North Andover, MA 01845 City State Zip 508-880-0233 508-880-7232 Phone: 978-681-6468 -Home Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation I Date of last pump out MicroFAST .5 MCF215 09/21/1998 1 7/1/2008 12:00:00 AM E UIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating if pr esent) 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 6" Aerobic Treatment Zone to" EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 440 gpd. H(Standard Units Color Clear Temperature 67.0 Odor Earth Comments: Alarm inside-not accessible. Opened up vent. TECHNICIAN SERVICE DATE David Koshiol 10/01/2009 44 Commercial Street Raynham,MA 02767 Tel: (508)880-0233 Fax: (508)880-7232 October 2, 2008 David Pinson 151 Raleigh Tavern Lane North Andover,MA 01845 Reference: FAST Wastewater Treatment System - Serial Number: MCF21 Dear Mr, Pinson: Attached please find the Field inspection & oe rt ea a i filservices performed on 09/19/2008 at your ppy led at 151 Raleigh Tavern Lane- North Andover, MA. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Cc: Massachusetts DEP Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 ►, DEP Approved Inspection and ® Form for Title IlA Treatment and Disposal Systems 11098 A. Installation Important: David Pinson When filling out Owner forms on the 151 Raleigh Tavern Lane computer,use only the tab key Facility Street Address 01845 to move your North Andover Zip cursor-do not City use the return key. Mailing address of owner, if different: r� 151 Raleigh Tavern Lane Street Address/PO Box: 01845 North Andover MA Zip rmm City State 978-681-6468 - Home ext. Telephone Number B. Authorized Service Provider Wastewater Treatment Services, Inc. O&M Firm 44 Commercial Street Street Address 02767 Raynham MA State Zip City 508-880-0223 ext. Telephone Number 2976 David Koshiol Certification Number Certified Operator Name C. Facility/System Information Bio-Microbics, _ MideoFAST .5 Inc. MCF215 Model Number DEP ID Manufacturer ID 09/21/1998 Start of Operation Installation Date Approval Type: Q General Q Provisional 0 Piloting ®Remedial Seasonal Residence—used less than 6 mo./year: 0 Yes ®No D. Operating Information 09/19/2008 Previous Inspection Date Inspection Date 4° Pumping Recommended []Yes ®No Sludge Level Page 1 of 3 DEPMicroFASTnew.doc-10/2108 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and ®& Form for Title 5 IIA Treatment and Disposal Systems 11098 E. Field Testing Field Inspection Color: gray 0 brown ©clear []turbid 0 other(specify): 0 offensive []turbid Odor: 0 musty earthy Q moldy Effluent Solids: ®no Q some DO 5.95 mg/L. Turbidity 2.1 NTU pH 7.0 SU 40 or less 6 to 9 2 ro greater Should a Remedial or General Use system fail the Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS F. Sampling Information Samples Taken 0 Influent (]Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: 440 gpd Parameters sampled: 0 pH 0 BOD 0 CBOD 0 TSS Q TN Q Other (list below) Other 3 Other 1 Other 2 G. Inspection and Maintenance Description of any maintenance performed since previous inspection and during this inspection Cleaned Filter, , , Checked Splash Recycle, Notes and Comments: Alarm inside - not accessible. Page 2 of 3 DEPMicroFASTnew.doc-10/2v08 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O& Form for Title I Treatment and Disposal Systems 11098 H. Certification I certify: I have inspected Field Testing g a d/orr sample collection address Standard d Methods, conducted the required have completed this report and the attached technology operation and maintenance checklist, an 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. David Koshiol 09/19/2008 Date Operator Signature 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 31st of each year for the previous calendar year Piloting Use—within 45 days of inspection date Provisional Use—by March 31't of each year for the previous 12 months General Use—by September 301h of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston, MA 02108 Page 3 of 3 DEPMicroFASTnew.doc•10i2v08 e I N C 0 R P 0 R A T E 0 8450 Cole Parkway m Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 11098 e-mail: onsite(abiomicrobics.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 i 51 Raleigh Tavern Lane Installation Address: North Andover,MA 01845 Name: Wastewater Treatment Services,Inc. Owner Name: David Pinson Mail Address: Mail Address: 44 Commercial Street Raynham, MA 02767 151 Raleigh Tavern Lane State Zip North Andover,MA 01845 City 508-880-0233 508-880-7232 Phone Fax e-mail Phone: 978-681-6468-Home Fax INSTALLATION INFORMATION Serial No. Date of Installation Date of last pump out Model No. 09/21/1998 7/1/200812:0O:OOAM MicroFAST.5 MCF215 E UIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS Electrical Pa-I(q) Visual Alarm O eratin Audio Alarm Operating if resent Blower s Air Inlet Filter Clean X Blower Hood Vents Clear X Excessive Noise X Excessive Vibration X Treatment units X Unusual Odor X Pum out Re uired: 4„ Prima Settlin Zone Z„ Aerobic Treatment Zone EFFLUENT o tional LIMIT RESULT 440 d. Estimated Daily Flow H Standard Units Clear Color 69.2 Tem erature Earth Odor Comments: Alarm inside-not accessible. TECHNICIAN SERVICE DATE 09/19/2008 David Koshiol i 1 I 44 Commercial Street Raynham,MA 02767 Tel: (508)880-0233 Fax: (508)880-7232 March 10, 2008 C North Andover Board of Health 1600 Osgood Street North Andover, MA 01845 J Attention: Health Agent Reference: FAST° Wastewater Treatment System - Serial Number: MCF215 Attached please find the Field Inspection& Service Report with fi d t6st resul is for services performed on 02/12/2008 at the property of David Pinson 1pcated at 151 Raleigh Tavern Lane-North Andover, MA. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services,Inc. Service Department Enclosures Copy to: David Pinson Massachusetts DEP i iVlassachusetts Department of Environmental Protection LlBureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 6967 A. Installation Important: David Pinson When filling out Owner forms on the computer,use 151 Raleigh Tavern Lane 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: 151 Raleigh Tavern Lane Street Address/PO Box: North Andover MA 01845 City State Zip 978-681-6468 - Home 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 MCF215 Bio-Microbics, Inc. MicroFAST .5 DEP ID Manufacturer ID Model Number 09/21/1998 Installation Date Start of Operation Approval Type: 0 General 0 Provisional 0 Piloting ®Remedial Seasonal Residence—used less than 6 mo./year: 0 Yes ®No D. Operating Information 02/12/2008 Inspection Date Previous Inspection Date 18 Pumping Recommended ®Yes Q No Sludge Level DEPMicroFASTnew.doc-3/6/08 Page 1 of 3 Massachusetts Department of Environmental Protection LA 5Bureau of Resource Protection - Title 5 DEP Approved Inspection and ®&M Form for Title 5 I/A Treatment and Disposal Systems 6967 E. Field Testing Field Inspection Color: ®gray 0 brown 0 clear 0 turbid 0 other(specify): Odor: 0 musty ®earthy 0 moldy Q offensive Q turbid Effluent Solids: 0 no 0 some pH 7.0 SU DO 6.06 mg/L. Turbidity 12.84 NTU 6 to 9 2 or greater 40 or less Should a Remedial or General Use system fail the Field Testing, effluent samples shall be collected per Standard Methods and analyzed for BOD and TSS. F. Sampling Information Samples Taken Q Influent 0 Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: 440 gpd Parameters sampled: 0 pH 0 BOD 0 CBOD Q TSS 0 TN 0 Other(list below) Other 1 Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection and during this inspection Cleaned Filter, , , Checked Splash Recycle, Notes and Comments: System needs to be pumped. DEPMicroFASTnew.doc•3/6/08 Page 2 of 3 'Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 6967 H. Certification I certify: I have inspected the sewage treatment and disposal system at the address above, have conducted the required Field Testing and/or sample collection in accordance with Standard Methods, 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 02/12/2008 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 31st of each year for the previous calendar year t Piloting Use—within 45 days of inspection date Provisional Use—by March 31st of each year for the previous 12 months General Use—by September 30th of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6th Floor Boston, MA 02108 DEPMicroFASTnew.doc•3/6/08 Page 3 of 3 U401=� O NCO R RATED 8450 Cole Parkway ta Shawnee, KS 66227 Phone 913-422-0707 w Fax: 912-422-0808 6967 e-mail: onsite(Dbiomicrobics.com w www.biomicrobics.com 0 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 151 Raleigh Tavern Lane Installation Address: North Andover,MA 01845 Name: Wastewater Treatment Services,Inc. Owner Name: David Pinson Mail Address: Mail Address: 44 Commercial Street 151 Raleigh Tavern Lane Raynham, MA 02767 North Andover,MA 01845 City State Zip 508-880-0233 508-880-7232 Phone: 978-681-6468-Home Fax e-mail Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out MicroFAST.5 MCF215 09/21/1998 8/1/2002 12:00:00 AM 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 X Pum out Required: X Primary Settling Zone 18" Aerobic Treatment Zone 18" EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 440 gpd. H Standard Units Color Gray Temperature 49.6 Odor Earth Comments: System needs to be pumped. TECHNICIAN SERVICE DATE Michael Dillen 02/12/2008