HomeMy WebLinkAboutMiscellaneous - 45 BRIDGES LANE 11/10/2005 44 Commercial Street
Raynham, MA
02767
Tel: (508) 880-0233
Fax: (508) 880-7232
ar
November 30, 2005
WC i)
"OWN op b4C�j
North Andover Board of Health
400 Osgood Street
North Andover, MA 01845
Attention: Health Agent
Reference: FAST@ Wastewater Treatment System
Serial Number: 24751
Attached please find the Field Inspection& Service Report and test results for services
performed on 11/10/2005 at the property of Michael Fox located at 45 Bridges 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: Michael Fox
Massachusetts DEP
Massachusetts Department of Environmental Protection
Li Bureau of Resource Protection ® Title 5
DP Approved Inspection and O&M Form for Title 5 I/A
Treatment and Disposal Systems
5211
A. Installation
Important: Michael Fox
When filling out Owner
forms on the
computer,use 45 Bridges 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:
_Q 45 Bridges Lane
Street Address/PO Box:
North Andover MA 01845
City State Zip
(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
24751 Bio-Microbics, Inc. MicroFAST .5
DEP ID Manufacturer's Name&ID Model Name&Number
05/17/2005
Installation Date Start of Operation
Approval Type:_General _Provisional _Piloting X Remedial
Seasonal Residence—used less than 6 mo./year:_Yes X No
D. Operating Information
11/10/2005
Inspection Date Previous Inspection Date
Sludge Depth(to be checked yearly) Pumping Recommended _Yes X No
Color: Clear Odor: None _
Effluent Description
DEPMicroFASTnew.doc•11/30/05 Page 1 of 2
07 r-111111111 Massachusetts Department of Environmental Protection
L 1� Bureau of Resource Protection - Title 5
DP Approved Inspection and O&M Form for Title 5 I/A
Treatment and Disposal Systems
5211
E. Sampling Information
Samples Taken:—Influent X Effluent
Parameters sampled: X pH X BOD X TSS—TN—Other(list below)
Other 1 Other 2 Other 3
Description of any maintenance performed since previous inspection & during this inspection:
Cleaned Filter,,,Splash Recycle,
Notes and Comments:
Also tested: , , , .
Pump &floats working properly.
F. Certification
I certify: I have inspected the sewage treatment and disposal system at the address above, 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 11/10/2005
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:
Rennedial Use—by January Piloting & Provisional Use- General Use—by September
31 st of each year for the within 30 days of inspection 30th of each year for the
previous calendar year date previous 12 months
Department of Environmental Protection
Attention: Title 5 Program
One Winter Street, 6th Floor
Boston. MA 02108
DEPMicroFASTnew.doc- 11130/05 Page 2 of 2
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44 Commerclal Street
Raynham, MA
02787
DISTAL PRESSURE FORM Tel: (508) 880.0233
/ / Fax: (508) 880.7232
Customer Name: ��f��iL ��a fj Serial Number: 1, l
Address: G-� 12-b
City: /V- ,�' �` State:—��4 ►1
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Date: / 6 STime: Technician Signature: ,�-��.1 '
Comments:
Unvironmental Chemistry Environmental Services
Site Assessment
Analytical Ba�-iO c�Fj
Site Sampling
Quality Assurance Services Data Auditing
C O RI P � t'
CERTIFICATE OF ANALYSIS
Wastewater Treatment Services, Inc.
44 Commercial Street REPORTED: 11/16/2005
Raynham, MA 02767 ORDER#: G0578386
COLLECTED BY: M.Dillen SAMPLE DATE: 11/10/2005
TIME: 14:00 DATE RECEIVED: 11/11/2005
LOCATION: 45 Bridges Ln.,N.Andover, MA SAMPLE ID:
Grab(2475 1) DESCRIPTION: WATER
RESULTS OF ANALYSIS
Test Parameters LAB-ID#: 0578386-01
BOD SM 5210B 11/11/2005 mg/L 4 <4.0
pH SM 4500 H+B 11/11/2005 S.U. 0-14 7.9
Solids,Suspended SM 2540 D 11/14/2005 mg/L 4 5.5
NA=Not Applicable
ND=Not Detected Approved B
<' = Less Than PP y: 4,
'*' = Detection Limit Manag# Date
NOV 1 8 2005
BY:--------------------
Page t of 1
Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225
1
INCORPORATED
8450 Cole Parkway m Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 5211
e-mail: onsite biomicrobics.com www.biomicrobics.com m 800-753-FAST(3278)
FIELD INSPECTION & SERVICE REPORT
For Bio-Microbics Single Home FASTO System
INSTALLATION AUTHORIZED SERVICE PROVIDER
45 Bridges Lane
Installation Address North Andover,MA 01845 Name Wastewater Treatment Services,Inc.
Owner Name Michael Fox Street
Mail Address: Mail Address 44 Commercial Street
45 Bridges Lane Raynham, MA 02767
North Andover,MA 01845 City State Zip
508-880-0233 508-880-7232
Phone Fax e-mail Phone Fax e-mail
INSTALLATION INFORMATION
Model No. Serial No. Date of Installation Date of last pump out
MicroFAST.5 24751 05/17/2005
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 }{
Excessive Vibration X
Treatment unit(s)
Unusual Odor
Pum out Required: X
Primary Settling Zone
Aerobic Treatment Zone
EFFLUENT o tional LIMIT RESULT
Estimated Daily Flow 4 Bedrooms
H Standard Units
Color Clear
Temperature
Odor None
Comments: Pump& floats working properly.
TECHNICIAN SERVICE DATE
Michael Dillen 11/10/2005