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Home My WebLink AboutMiscellaneous - 45 BRIDGES LANE 1/14/2016 (6) 44 Commercial Street ,,......" Raynham,MA 02767 r ti Tel: (508)880-0233 ax: (508)880-7232 y rkr rr y. September 7, 2007 North Andover Board of Health 1600 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 with held test results for services performed on 08/28/2007 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, G�,� � �e�sec�jee✓zT`rJ`J�2�..��o Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Michael Fox Massachusetts DEP �iV.!'G%GC/w V.i71�C'[�Lr��U.P/��i(iCP�j ✓ij1iC°r 44 Commercial Street Raynham,MA 02767 Tel: (508)880-0233 Fax: (508)880-7232 DISTAL PRESSURE FORM Cu er Name Serial Number:_ Address: City:/ y'"( 1'��U1/L State:___�w / V CD 7 Q� Date: �° �Time:� technician Signature: Comments: 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 8813 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 City Zip use the return key. Mailing address of owner, if different: 45 Bridges Lane Street Address/PO Box: North Andover MA 01845 Zip gram City State 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 24751 Bio-Microbics, Inc. MicroFAST .5 DEP ID Manufacturer ID Model Number 05/17/2005 Installation Date Start of Operation Approval Type: Q General 0 Provisional 0 Piloting ®Remedial Seasonal Residence—used less than 6 mo./year: 0 Yes ®No D. Operating Information 08/28/2007 Inspection Date Previous Inspection Date 13" Pumping Recommended 0 Yes ®No Sludge Level DEPMicroFASTnew.doc-9(7/07 Page 1 of 3 Massachusetts Department of Environmental Protection LlBureau of Resource Protection - Title 5 DEP Approved Inspection and OW Form for Title 5 I/A Treatment and Disposal Systems 8813 E. Field Testing Field Inspection Color: 0 gray 0 brown ®clear 0 turbid 0 other(specify): Odor: ®musty ®earthy ®moldy Q offensive 0 turbid Effluent Solids: ®no ®some pH 7.0 SU DO 5.8 mg/L. Turbidity 3.3 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 0 Influent Q Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: 440 gpd Parameters sampled: Q pH 0 BOD 0 CBOD 0 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, Checked Distal Pressure Notes and Comments: DEPMicroFASTnew.doc•9/7/07 Page 2 of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and ®&M Form for Title 5 I/ Treatment and Disposal Systems 8813 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 08/28/2007 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 31 sc of each year for the previous calendar year Piloting Use—within 45 days of inspection date Provisional Use—by March 31 s`of each year for the previous 12 months General Use—by September 30`h 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•WIN Page 3 of 3 I N C O 8=PO R A T E 0 8450 Cole Parkway w Shawnee, KS 66227 w Phone 913-422-0707 m Fax: 912-422-0808 8813 e-mail: onsiteObiomicrobics.com m www.biomicrobics.com m 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 45 Bridges Lane Installation Address: North Andover,MA 01845 Name: Wastewater Treatment Services,Inc. Owner Name: Michael Fox 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 X Excessive Vibration X Treatment unit(s) Unusual Odor Pum out Required: X Primary Settling Zone 13" Aerobic Treatment Zone 15" EFFLUENT(optional) LIMIT RESULT Estimated Daily Flow 440 d. H Standard Units) Color Clear Temperature 78.3 Odor Earth Comments: TECHNICIAN SERVICE DATE David Koshiol 08/28/2007