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HomeMy WebLinkAboutMiscellaneous - 45 BRIDGES LANE 1/14/2016 Wi N&W'la&1- t_f/W41fW11t 44 Commercial Street Raynham, MA 02707 Tel: (508) 880-0230 Fax: (508) 880-7232 June 3, 2005 6 0 .1 o �� � �ua �aP. :r w . sir_ North Andover Board of Health 27 Charles Street North Andover, MA 01845 Attention: Board of Health Agent Reference: Home FAST Treatment Serial Number: 24751 Attached please find a copy of the Product Registration Report for the FAST Treatment System for work performed on 05/17/2005 at the home of Michael Koenig located at 45 Bridges Lane,North Andover,MA. Also, attached is a copy of the fully executed Inspection&Effluent Testing Agreement. If you have any questions or require additional information please do not hesitate to call. Sincerely, Donna L. Callahan Enclosures 1 INCORPORATED 8450 Cole Parkway m Shawnee, KS 66227 w Phone 913-422-0707 w Fax: 912-422-0808 e-mail: onsite a0biomicrobics com w www.biomicrobics.com m 800-753-FAST(3278) Product RegistrPRODUCT REGISTRATION REPORT /Report completed and returned to Bio-Microbics, Inc. in order to effect warranty. Date of Start-Up. /�/`�' Date Shipped to End User 4/27/05 Serial #24751 OWNER NAME Michael Koeni ADDRESS 45 Brid es Lane CITY/STATE/ZIP North Andover,MA 01845 PHONE/FAX BIO-MICROBICS DISTRIBUTOR NAME Wastewater Treatment Services,Inc. ADDRESS 44 Commercial Street CITY/STATE/ZIP Ra am, MA 02767 PHONE/FAX 508-880 0233 FAX: 508-880-7232 INSTALLER Agg dsca in Street MA 01940 CONSULTING ENGINEER if a licable NAME New En land En ineerin Services ADDRESS P.O. Box 536 CITY/STATE/ZIP N.Andover,MA 01845 PHONE/FAX 978-686-1768 ELECTRICAL PANEL(S) TREATMENT UNIT(S)Good Bad NA Good Bad NA Visual Alarm Operating ,,o ❑ C3 Air vent clear 0 Audio Alarm Operating Naj ❑ ❑ Septic tank level ❑ BLOWER(S) Septic tank meets min. size ] 0 Wired for correct voltage ❑ Septic tank filled to ❑ Inlet/outlet piped correct) operating level Y �1 ❑ Air Lift Operation Filter element installed \© ❑ Recirculation tube in place �j ❑ Blower hood secure �Q ❑ Fasteners tight tJ ❑ Blower works correctly �j ❑ WATER-TIGHT JOINTS Blower located within 100' of ❑ ❑ Treatment unit to septic tank ❑ treatment unit Air line clear ,j ❑ Entrance tube to insert cover ❑ ❑ Air inlet screen clear O Insert to insert cover b ❑ Blower hood vents clear ❑ Discharge line connection �� ❑ Factory Authorized Personnel: Title: Firm: Wastewater Treatment Services Inc. Date: 17 �. U(-APR-05 09:5ZAM FROM-AMPRO rUCIYUUU PAGE 01/02 +1608960T232 T-740 P.O1/02 p�381 MAN a0*6W all iW= n LJJ ® iffeludfag thm sigm4ft, kail 44 CornnrlerCiel St et SPPad original Munct to; F'aynhatll, MA .�Yaatewarer Trey M 02767 -- Tel: (506) 680-0233 Fax: (508) 880-7232 MP-1—'CO Nb F, FLU NT TESTING 4G AtVeement entered into by and between Wastewater Treatment Services, Ync. the FAST'System OWNER(her.ein called O (herein called W -of OWNER Which is described below. OWNER) for the inspection by WTS Y WTS ofcenain equipment Upon acceptance of this agreement at WTS's office, WTS will render the following Equipment will be inspected at Iea�4 times per year that this,A, e services only; inspections beginning These inspections will include:emt;nt remains in effect, with the first 1) Testing of the sludge depth in the septic , 2) Inspection,power testing and cleaWreplace intake fiber of the air blower, 3) Inspection of the alarm system. 4) Inspect overall condition.of FAST*System. 5) Notification to O)N NER of any problems erica *6) Inspection of Septic Tank and Puin Wltered. "y) TnSpeetion of P Chamber *8) Inspect/clean floats pump cycle 9) Service other than routine maintenance will be billed at an hourly ate WTS shall notify the local Board of Health and D y 'plus travel and parts. Within 24 hours of a system failure or alarm event Department corrective Environmental that Non been 4WIVLR will be billed standard WTS charges for an �Taken additional labor time will be billed to the Q y pis used to repairs or rrtaintenatrce, Any K'NEIt U standard labor rates of$74.00 per hour. Emergency service between regular inspections will be provided at standard labor rates during business hours; at time and one-half after 5:00 PM and on Saturdays; u normal holidays. Emergency service charges will include a minimum four(4)hours of labor,' lus Y , and at double time on Sundays and WTS charges for parts,plus mileage and p standard but does nor include repairs required ford damages caused by abuse, acmciden includes theft routine ma teD nce, forces of nature,or alterations made to the equipment. WTS shall not be responsible for failure acts of third persons, the agreed services if caused by strikes, labor disputes, non-cooperation b (a to render beyond the control of WTS, Y WNER, or other factors OWNER understands and agrees that WTS is not responsible for special, incidental dam4ges, including loss of time, injury to person or roe tal or consequential p p rty, or equipment failure. OWNER agrees that WTS may enter OWNER'S ro a deemed by WTS to be neeess P .P m'and have acceptable access to all areas ary or appropriate forVYTS to pertorm ks duties hereunder. 'I,IN—Nju uo:ucnM r9VM—JKtNUFXUD 116Ud�UU7"LIZ NO f UG/UC pydE 02/02 This is a two® Y ®onu=t which will be billed ustl to pay introit®t promptly y- All payments aaenon-refundable. b 's failure p iriptly or to otherwis®comply With this caritract May result ffi cancellation Of contract and/or nullification of warranties,at the election of S T sagtee�ie service,not assignablc without the consent of WITS and will remain in force until canceled by®ihisr ply through written notice. Nio- fiACT bics MODAL NO S o. LOCATION Bio-Micrabics Y MicroFAST E A -SATE f/.5 7 North Andover,MA $390.00 �'MFN'T O � Wastewater er Tr nt Services.Inc, *Signed.by OW qER: AOOO aug m1�( e�- CiV�t A / sxgriod: *Address: �( 45 Bridge Lane �1 44 Commercial Street RaYnham,MA 02767 *City: State: Zip: Tele: (508) 823-9566 >� North Andover P 01845 flax: (508) 880-7232 Telephone` q .rj \• Effective Date of Agreemenr, Daytime Telephone: OWNER understands that(1)ANNUAL RATE payment is for one year only of this two-year agreement and is non-refundable;and (2)Current DEp Regulations require OWNER to maintain a service agreement for the Iife of the FASTm System. 1 HAVE READ AND UNDERSTAND THE FOREGOING. Signed by OWNER: Effluent Testier Effluent sample taken 4 times per year and delivered to a qualified testing lab for evaluation. Results sent to State and local Agencies as well as tho OWNER. OWNER is responsible for providing acceptable access to effluent to enable a grab sample w be taken for laboratory testing performed, ERMYT: *(PLEASE CI-Muc ONE) ( ) GENERAL ( X)REMEDIAL ( )PROVISIONAL *SPECrAL,CONDITION'S PER LOCAL BOA OF HEALTH,'(y) or(N)if YES,picase attach copy of P ennit (X)pH,BOD5i TSS ( )Total Nitrogen ( X ) Other per Local Board of Realth: *Distal Pressure&Inspection Of pump, floats,septic&pump Cost for Testing; chamber--annually. 5180�QO/Visat Testing of Distal Pressure 50.00/visit Operator assigned: W1111am Everett Telephone: 5 S 40 -3868 *Engineer: New England Engineering *Approval for Effluent Testing llorneo er