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Home My WebLink About171 Ware St. - Sewage44 Commercial Street Raynham, MA 02767 Tel: (508) 880.0233 Fax: (508) 880.7232 February 9, 2007 Mansfield Board of Health 50 West Street Mansfield, MA 02048 Attention: Health Agent Reference: FAST® Wastewater Treatment System Serial Number: MCF3 0 104 Attached please find the Field Inspection & Service Report and test results for services performed on 01/09/2007 at the property of Lennon Family LLC located at 171 Ware Street- Mansfield, MA. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Lennon Family LLC Environmental Chemistry Environmental Services Site Assessment Site Sampling Quality Assurance Services Analytical Balance Data Auditing C O R P O R A '1' t () 1; CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street Raynham, MA 02767 COLLECTED BY: D. Koshiol TIME: 15:30 LOCATION: Mansfield, MA (MCF 104) Influent REPORTED: ORDER #: 01/20/2007 G0790925 SAMPLE DATE: 1/9/2007 DATE RECEIVED: 1/9/2007 SAMPLE ID: Lennon DESCRIPTION: WATER l�GJVGI 77 x Test Parameters LAB-IDk: 0790925-01 Ammonia, Nitrogen 350.1 EPA 350.1 01/17/2007 mg/L 0.1 55.7 BOD SM 5210B 01/10/2007 mg/L 4 280 Kjeldahl, Nitrogen EPA 351.2 01/12/2007 mg/L 0.50 59.1 Nitrate, Nitrogen 4110B SM 4110 B 71/ 10/2007 mg/L 0.50 <0.50 Nitrite, Nitrogen 4110B SM 4110 B 01/10/2007 mg/L 0.25 <0.25 Solids, Suspended SM 2540 D 01/11/2007 mg/L 4 1 200 1AN 2 3 2007 f) BY------ -_-------- Page 1 of d Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Environmental Chemistry Environmental Services Site Assessment Si[e Sampling Quality Assurance Services Analytica!#— Balance Data Auditing C O R P 0 . '1' f O 1: CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street Raynham, MA 02767 COLLECTED BY: D. Koshiol TIME: 15:30 LOCATION: Mansfield, MA (MCF 104) Influent REPORTED: 01/20/2007 ORDER #: G0790925 SAMPLE DATE: 1/9/2007 DATE RECEIVED: 1/9/2007 SAMPLE ID: Lennon DESCRIPTION: WATER RESULTS OF ANALYSI7-7757TS " s �R'�A,+ rvM:.�r PH iSM 4500 H+B OI/LAB-ma: 0790925-02 Test Parameters ^0 842.4 Oil & Grease, Grayimetrc 9/2007 gL 1000 JAN 2 3 2007 B Y: Page ? of J Inalwiral Halance Corp.. 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Environmental Chemistry Environmental Services Si[e Sampling Site Assessment Quality Assurance Services Ana0-ical Balance Data Auditing G O R D R A 'it n n CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. REPORTED: 01/20/2007 44 Commercial Street Raynham, MA 02767 ORDER #: G0790925 COLLECTED BY: D. Koshiol SAMPLE DATE: 1/9/2007 TIME: 15:30 DATE RECEIVED: 1/9/2007 LOCATION: Mansfield, MA (MCF 104) SAMPLE ID: Lennon Effluent DESCRIPTION: WATER go «LU'W5 1r 1P\ 4Iojo gt 'poilla 0 Hi� s;`u.a.:w x" �` r�,r.:+@.t_. � .- :�... , 5-03 LAti-11)N: 079092- Test Pai- ameteYS Ammonia, Nitrogen 350.1 EPA 350.1 01/17/2007 mg/L 0.1 4.35 BOD SM 5210B 01/10/ 0007 mg/L 4 20.0 Kjeldahl, Nitrogen EPA 351.2 01/12/2007 mg/L 0.50 6.73 Nitrate, Nitrogen 4110B SM 4110 B 0111012007 /10/2007 mg L 0.50 20.1 Nitrite, Nitrogen 4110B SM 4110 B 61/10/ 0007 rng/L 0.25 0.64 Solids, Suspended SM 2540 D 01/l 1/2007 mg/L 1 4 1 14.5 JAN 2 3 2007 U BY: -------------------- Page 3 of 4 4oalvtical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Environmental Services Environmental Chemistry Site Assessment Site Sampling Quality Assurance Services AnalyticalGA Balance Data Auditing C O R P O R 'If O N CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street Raynham, MA 02767 COLLECTED BY: D. Koshiol TIME: 15:30 LOCATION: Mansfield, MA (MCF 104) Effluent REPORTED: 01/20/2007 ORDER #: G0790925 SAMPLE DATE: 1/9/2007 DATE RECEIVED: 1/9/2007 SAMPLE ID: Lennon DESCRIPTION: WATER RESULTS OF ANALYSIS 'a. My a a i DBfe+ s lb is '�''� �n$� .t re Relli ¢ -''I.lh{f<* E tX z 4"�"` ,.- `� LAB -ID#: 0790925-04 Test Parameters Oil & Grease, Gravimetric EPA 413.1 01/19/2007 mg/L 1.2 2.0 PH SM 4500 H+B Ol/10/2007 S.U. 0-14 6.7 NA = Not Applicable 3 ND =Not Detected Approved <' = Less Than ab Manag / Date '*' = Detection Limit )I JAN 2 3 2997 ------------ Page 4 of 4 Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 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 --- A. Installation Important: Lennon Family LLC When filing out Owner forms on the computer, use 171 Ware Street only the tab key Facility Street Address to move your Mansfield 02048 cursor - do not City Zip use the return key. Mailing address of owner, if different: 195 Washington Street Street Address/PO Box: 02356 North Easton MA Zip m+m City State 508 238 0780 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. Fac rmation MCF3 0 104 Bio-Microbics, Inc. FAST 3.0 DEP ID Manufacturer ID Model Number 06/07/2000 Installation Date start of Operation Approval Type: Q General Q Provisional Q Piloting ® Remedial Seasonal Residence — used less than 6 mo./year: Q Yes ®No D. Operating Information 01 /09/2007 Inspection Date Previous Inspection Date 6/26" Pumping Recommended ® Yes ONO Sludqe Level _ Page 1 of 3 DEPMicroFASTnew.doc • 2/9/07 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 5 IlA Treatment and Disposal Systems ___ E. Field Testing Field Inspection Color: 0 gray Q brown Q other (specify): 0 clear ® turbid Odor: Q musty ® earthy Q moldy Q offensive Q turbid Effluent Solids: ®no Q some pH SU DO mg/L. Turbidity 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 ® Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: 2640 Parameters sampled: ®pH ®BOD Q CBOD ® TSS Q TN ® Other (list below) 1 G. Inspection and Maintenance l & Grease Other 3 Description of any maintenance performed since previous inspection and during this inspection Cleaned Filter, , , Checked Splash Recycle, Notes and Comments: Alarm inside - not accessible. FAST needs to be pumped. Page 2 of 3 DEPMicroFASTnew.doc • 2i9i07 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 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 01/09/2007 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 3181 of each year for the previous calendar year Piloting Use — within 45 days of inspection date Provisional Use — by March 31 5'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, 6ch Floor Boston, MA 02108 DEPMicroFASTnew.doc • 2/9/07 Page 3 of 3 BIO-M104 8450 Cole Parkway m Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 7925 e-mail: onsite()biomicrobics.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 171 Ware Street Installation Address: Mansfield, MA 02048 Name: Wastewater Treatment Services, Inc. Owner Name: Lennon Family LLC Mail Address: 195 Washington Street North Easton, MA 02356 Mail Address: 44 Commercial Street Raynham, MA 02767 City State Zip Phone: 508 238 0780 Fax e-mail 508-880-0233 508-880-7232 Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out FAST 3.0 MCF3 0 104 06/07/2000 1 8/1/2005 12:00:00 AM EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating 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 6/26" Aerobic Treatment Zone EFFLUENT (optional) LIMIT RESULT Estimated Daily Flow 2640 gpd. H Standard Units Color Temperature Odor Earth Comments: Alarm inside - not accessible. FAST needs to be pumped. TECHNICIAN SERVICE DATE David Koshiol 01/09/2007 i April 30, 2007 Mansfield Board of Health 50 West Street Mansfield, MA 02048 Attention: Health Agent Reference: FAST® Wastewater Treatment System Serial Number: MCF3 0 104 44 Commercial Street Raynham, MA 02767 Tel: (508) 880.0233 Fax: (508) 880.7232 Attached please find the Field Inspection & Service Report and test results for services performed on 04/09/2007 at the property of Lennon Family LLC located at 171 Ware Street- Mansfield, MA. Please call if you have any questions or require additional information. Sincerely, ell, �7urtine af�,�arceo Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Lennon Family LLC Environmental Chemistry Environmental Services Site Assessment Site Sampling QualityAssurance Services Analytical Balance Data Auditing C O R P O R A T 1 0 N CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street Raynham, MA 02767 COLLECTED BY: D. Koshiol TIME: 14:45 LOCATION: Mansfield (MCF 104) Influent Composite REPORTED: 04/23/2007 ORDER #: G0792955 SAMPLE DATE: 4/9/2007 DATE RECEIVED: 4/9/2007 SAMPLE ID: Lennon DESCRIPTION: WATER RESULTS OF ANALYSIS 5 4 ME lam N Test Parameters .�. - ... .... .� �.,._.. _,.. LAB -ID#: 079295"1 Ammonia, Nitrogen 350.1 EPA 350.1 04/10/2007 mg/L 0.1 56.8 BOD SM 5210B 04/11/2007 mg/L 4 250 Nitrogen EPA 351 /13/2007 mg/LKjeldahl, 0.50 60.6 Nitrate, Nitrogen 4110B SM 4110 B 04/09/2007 mg/L 0.50 <0.50 Solids, Suspended SM 2540 D 04/12/2007 mg/L 4 62.0 APR, 2 5 2007 BY: -------------------- Page 1 of 4 Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Environmental Chemistry Environmental Services Site Assessment �r��yy��J` Site Sampling Quality Assurance Services Analytical Balance Data Auditing C 0 R P O R A T i 0 i< CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street Raynham, MA 02767 COLLECTED BY: D. Koshiol TIME: 14:45 LOCATION: Mansfield (MCF 104) Influent Grab REPORTED: 04/23/2007 ORDER #: G0792955 SAMPLE DATE: 4/9/2007 DATE RECEIVED: 4/9/2007 SAMPLE ID: Lennon DESCRIPTION: WATER RESULTS OF ANALYSIS ME APR 2 5 2007 BY: -------------------- Page 2 of 4 Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Environmental Services Environmental Chemistry Site Assessment Site Sampling Quality Assurance Services Analytical Balance Data Auditing C O R P O R A T 1 O N CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street Raynham, MA 02767 COLLECTED BY: D. Koshiol TIME: 14:45 LOCATION: Mansfield (MCF 104) Effluent Composite REPORTED: 04/23/2007 ORDER #: G0792955 SAMPLE DATE: 4/9/2007 DATE RECEIVED: 4/9/2007 SAMPLE ID: Lennon DESCRIPTION: WATER RESULTS OF ANALYSIS ..... .. ....... LAID#: 079295407 Test Parameters Ammonia, Nitrogen 350.1 EPA 350A 04/10/2007 mg/I, 0.1 BOD SM 5210B 04/11/2007 mg/L 4 =4.67 Kjeldahl, Nitrogen EPA 351.2 04/13/2007 mg/L 0.50 Nitrate, Nitrogen 4110B SM 4110 B 04/09/2007 mg/L 0.50Solids, Suspended SM 2540 D 04/12/2007 in4 APR 2 5 2007 BY: -------------- - -- -.. Page 3 of 4 Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Environmental Chemistry Environmental Services Site Assessment Site Sampling Quality Assurance Services AnalyticalO—)ABalance Data Auditing C o R P U R '[' I O N CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street Raynham, MA 02767 COLLECTED BY: D. Koshiol TIME: 14:45 LOCATION: Mansfield (MCF 104) Effluent Grab NA = Not Applicable ND = Not Detected '<' = Less Than ." = Detection Limit REPORTED: 04/23/2007 ORDER #: G0792955 SAMPLE DATE: 4/9/2007 DATE RECEIVED: 4/9/2007 SAMPLE ID: Lennon DESCRIPTION: WATER Approved By !' 6_ Tana rr Date IM 0 M YT7 E APR, 2 5 2007 !; BY---------------------- Page 4 or 4 Analytical Balance Corp., 422 West Grove Street, Middleboro, NIA 02346 Ph: 508-946-2225 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 A. Installation Important: Lennon Family LLC When filling out Owner forms on the computer, use 171 Ware Street only the tab key Facility Street Address to move your Mansfield 02048 cursor - do not City Zip use the return key. Mailing address of owner, if different: OL e 195 Washington Street Street Address/PO Box: North Easton MA 02356 City State Zip 508 238 0780 ext. Telephone Number B. Authorized Service Provider Wastewater Treatment Services, Inc 0&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 MCF3 0 104 Bio-Microbics, Inc. FAST 3.0 DEP ID Manufacturer ID Model Number 06/07/2000 Installation Date Start of Operation Approval Type: Q General 0 Provisional Q Piloting ® Remedial Seasonal Residence — used less than 6 modyear: 0 Yes ®No D. Operating Information 04/09/2007 Inspection Date Previous Inspection Date 13" Pumping Recommended 0 Yes ®No Sludge Level DEPMicroFASTnew.doc • 4130/07 Page i 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 E. Field Testing Field Inspection Color: Q gray Q brown Q other (specify): Odor: Q musty Effluent Solids: ®no pH SU 6to9 ® earthy 0 some ® clear Q turbid Q moldy Q offensive DO mg/L. Turbidity NTU 2 or greater 40 or less Q turbid 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 ® Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: 2640 Parameters sampled: ®pH ®BOD Q CBOD ® TSS Q TN ® Other (list below) Other 1 Ammonia Oil & Grease 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. DEPMicroFASTnew.doc • 4130/07 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 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 04/09/2007 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 st of each year for the previous calendar year Piloting Use — within 45 days of inspection date Provisional Use — by March 31" 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 DEPMicroFASTnew.doc • 4/30/07 Page 3 of 3 BI -MICRQBMCS: 8450 Cole Parkway w Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 7925 e-mail: onsite()biomicrobics.com mwww.biomicrobics.com m 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 171 Ware Street Installation Address: Mansfield, MA 02048 Name: Wastewater Treatment Services, Inc. Owner Name: Lennon Family LLC Mail Address: 195 Washington Street North Easton, MA 02356 Mail Address: 44 Commercial Street Raynham, MA 02767 City State Zip Phone: 508 238 0780 Fax e-mail 508-880-0233 508-880-7232 Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out FAST 3.0 MCF3 0 104 06/07/2000 1 2/I/2006 12:00:00 AM EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating 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 16" EFFLUENT (optional) LIMIT RESULT Estimated Daily Flow 2640 gpd. H Standard Units Color Temperature Odor Earth Comments: Alarm inside - not accessible. TECHNICIAN SERVICE DATE David Koshiol 04/09/2007 44 Commercial Street Raynham, MA 02767 Tel: (508) 880.0233 Fax: (508) 880.7232 August 8, 2007 Mansfield Board of Health 50 West Street Mansfield, MA 02048 Attention: Health Agent Reference: FAST® Wastewater Treatment System Serial Number: MCF3 0 104 Attached please find the Field Inspection & Service Report for services performed on 07/19/2007 at the property of Lennon Family LLC located at 171 Ware Street - Mansfield, MA. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Lennon Family LLC 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 --- A. Installation Important: Lennon Family LLC When filling out Owner forms on the computer, use 171 Ware Street only the tab key Facility Street Address to move your Mansfield 02048- cursor - do not City - Zip use the return key. Mailing address of owner, if different: 195 Washington Street Street Address/PO Box: North Easton MA 02356 �mm City State ------ Zip 508 238 0780 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 Certified Operator Name C. Faci Inform 2976 Certification Number MCF3 0 104 Bio-Microbics, Inc. FAST 3.0 DEP ID Manufacturer ID Model Number Installation Date Approval Type: Q General Q Provisional Seasonal Residence - used less than 6 mo./year: 07/19/2007 Inspection Date Sludge Level 06/07/2000 Start of Operation Q Piloting ® Remedial Q Yes ® No Previous Inspection Date Pumping Recommended ® Yes Q No DEPMicroFASTnew.doc • 7/27/07 Page 1 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 ,-- E. Field Testing Field Inspection Color: Q gray Q brown Q other (specify): Odor: Q musty Effluent Solids: ®no pH SU 6 to 9 ® clear Q turbid ® earthy Q moldy Q offensive 0 turbid Q some DO mg/L. Turbidity _ NTU 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 Q Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: 2640 Parameters sampled: Q pH Q BOD Q CBOD Q TSS 0 TN Q Other (list below) Other 1 Other 2 G. Inspection and Maintenance 3 Description of any maintenance performed since previous inspection and during this inspection Cleaned Filter, , , Checked Splash Recycle, Notes and Comments: Alarm inside . not accessible. FAST only needs to be pumped. Page 2 of 3 DEPMicroFASTnew.doc • 7/27f07 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 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 07/19/2007 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" 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 301h of each year for the previous 12 months Send to: Department of Environmental Protection Attention: Title 5 Program One Winter Street, 61h Floor Boston, MA 02108 DEPMicroFASTnew.doc • 7127f07 Page 3 of 3 Uzi 1 I ! fl INCONP O RAT ED 8450 Cole Parkway m Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 7925 e-mail: onsite(a)biomicrobics.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 171 Ware Street Installation Address: Mansfield, MA 02048 Name: Wastewater Treatment Services, Inc. Owner Name: Lennon Family LLC Mail Address: 195 Washington Street — North Easton, MA 02356 Mail Address: 44 Commercial Street Raynham, MA 02767 City State Zip Phone: 508 238 0780 Fax e-mail 508-880-0233 508-880-7232 Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation I Date of last pump out FAST 3.0 MCF3 0 104 06/07/2000 1 2/1/2006 12:00:00 AM EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating 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 Prima SettlingZone 8' Aerobic Treatment Zone 22" EFFLUENT (optional) LIMIT RESULT Estimated Daily Flow 2640 gpd. H Standard Units Color Temperature Odor Earth Comments: Alarm inside -not accessible. FAST only needs to be pumped. TECHNICIAN SERVICE DATE David Koshiol 07/19/2007 44 Commercial Street Raynham, MA — 02767 Tel: (508) 880.0233 SEP a� 2006 Fax: (508) 880-7232 August 31, 2006�;- Mansfield Board of Health 50 West Street Mansfield, MA 02048 Attention: Health Agent Reference: FAST® Wastewater Treatment System Serial Number: MCF3 0 104 Attached please find the Field Inspection & Service Report and test results for services performed on 08/01/2006 at the property of Lennon Family LLC located at 171 Ware Street - Mansfield, MA. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Lennon Family LLC Environmental Chemistry Environmental Services Site Assessment Site Sampling Quality Assurance Services Analytical Balance Data Auditing C O R P O R A 'I' 1 0 N CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street Raynham, MA 02767 COLLECTED BY: D. Koshiol TIME: 15:40 LOCATION: Mansfield (MCF104) Influent Grab REPORTED: 08/11/2006 ORDER #: G0686006 SAMPLE DATE: 8/1/2006 DATE RECEIVED: 8/1/2006 SAMPLE ID: Lennon LLC DESCRIPTION: WATER RESULTS OF ANALYSIS 1 9 +^;FIm i�♦ t i t: t f t l I■� 1) 1 •• 1� ti t i t: t tt1 � t I 1 1 \�' li I i ti t� Itt• 1�� 1 • 1 t: ft1 1 • If ti t ftl t 1 : BY: ------------------- Page 1 of 2 Analytical Balance Corp., 422 West Grove Street, Middleboro, 1VIA 02346 Ph: 508-946-2225 Environmental Chemistry Environmental Services Site Assessment Analytical Balance at Sampling Quality Assurance Services Data Auditing C O R P O R. A 't' 1 O N CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street Raynham, MA 02767 COLLECTED BY: D. Koshiol TIME: 15:40 LOCATION: Mansfield (MCF104) Effluent Grab REPORTED: 08/11/2006 ORDER #: G0686006 SAMPLE DATE: 8/l/2006 DATE RECEIVED: 8/l/2006 SAMPLE ID: Lennon LLC DESCRIPTION: WATER RESULTS OF ANALYSIS WN de .e'SLIet::£a6wu..ka du".YBiGelCa° AGi 'i^ Y# y Sq (E'J. M Yei'Sr=31rY,}s'�5TINS �W1- may%.,- W Test Parameters / IV: VII61 !Animonia, Nitrogen 350.11: 1 11. 1 1 .83 lKjeldahl, Nitrogen08/1012006 3.05 Nitrogen 411 IC SM 4110 C 1111JR1 11. 1 1 13.3 Nitrogen IC I C 1:1 11. 1 I .45 IPH• ISM 4500 !Solids, Suspended 41 1:1 11. 1 NA = Not Applicable ND = Not Detected '<' = Less Than Detection Limit Approved By Nw k Manage% / Date I- j L'.JH BY: Page 2 of 2 Analytical Balance Corp., 422 West Grove Street, Middleboro, VIA 02346 Ph: 508-946-2225 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 A. Installation Important: Lennon Family LLC When filling out Owner forms on the computer, use 171 Ware Street only the tab key Facility Street Address to move your Mansfield 02048 cursor -do not City Zip use the return key. Mailing address of owner, if different: Q 195 Washington Street Street Box: East North Easton MA 02356 City State Zip 508 238 0780 ext. Telephone Number B. Authorized Service Provider Wastewater Treatment Services, Inc O&M Firm 44 Commercial Street Street Address Raynham MA 02767 city Slate Zip 508-880-0223 ext. Telephone Number David Koshiol 2976 Certified Operator Name Certification Number C. Facility/System Information MCF3 0 104 Bio-Microbics, Inc. FAST 3.0 DEP ID Manufacturer t0 Model Number Installation Date Approval Type: 0 General 0 Provisional Seasonal Residence — used less than 6 modyear: D. Operating Information 08101/2006 Inspection Date 13" 06/07/2000 Start of Operation 0 Piloting R Remedial 0 Yes R No Previous Inspection Date Pumping Recommended 0 Yes R No DEPMicroFASTnew.doc • 8131/06 Page 1 of 3 Massachusetts Department of Environmental Protection jam}\ Bureau of Resource Protection - Title 5 DEP Approved Inspection and OW Form for Title 511A Treatment and Disposal Systems 6294 E. Field Testing Field Inspection Color: Q gray Q brown ® clear Q turbid Q other (specify): Odor: Q musty ® earthy Q moldy Q offensive Q turbid Effluent Solids: ®no Q some pH SU DO mg/L. Turbidity 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 ® Influent ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: 2640 Parameters sampled: ®pH ®BOD Q CBOD ® TSS Q TN ® Other (list below) Other 1 Ammonia Oil & Grease 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. DEPMicroFASTnew.doc • 8131/06 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 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 Operator Signature 08/01/2006 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 316' of each year for the previous calendar year Piloting Use — within 45 days of inspection date Provisional Use — by March 318' 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, 61h Floor Boston, MA 02108 DEPMicroFASTnew.doc • 8/31/06 Page 3 of 3 E I 1I t I NCO R PO a AT E0 8450 Cole Parkway m Shawnee, KS 66227 Phone 913-422-0707 m Fax: 912-422-0808 6294 e-mail: onsitena biomicrobics.com m www.blomicrobics.com m 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTO System INSTALLATION AUTHORIZED SERVICE PROVIDER 171 Ware Street Installation Address: Mansfield, MA 02048 Name: Wastewater Treatment Services, Inc. Owner Name: Lennon Family LLC Mail Address: 195 Washington Street North Easton, MA 02356 Mail Address: 44 Commercial Street Raynham, MA 02767 City State Zip Phone: 508 238 0780 Fax e-mail 508-880-0233 508-880-7232 Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation 4 Date of last pump out FAST 3.0 MCF3 0 104 06/07/2000 . 8/1/2005 12:00:00 AM EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panel(s) Visual Alarm Operating 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 Unusual Odor Pum out Required: X Primary Settling Zone 13" Aerobic Treatment Zone 13" EFFLUENT (optional) LIMIT RESULT Estimated Daily Flow 2640 gpd. H Standard Units Color Temperature Odor Earth Comments: Alarm inside - not accessible. TECHNICIAN SERVICE DATE David Koshiol 08/01/2006 l-1� ' %./�/��-N Y MAY 0 4 2006 .' May 1, 2006 Mansfield Board of Health 50 West Street Mansfield, MA 02048 Attention: Health Agent Reference: FAST® Wastewater Treatment System Serial Number: MCF3 0 104 44 Commercial Street Raynham, MA 02767 Tel: (508) 880-0233 Fax: (508) 880-7232 Attached please find the Field Inspection & Service Report and test results for services performed on 04/07/2006 at the property of Lennon Family LLC located at 171 Ware Street - Mansfield, MA. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Lennon Family LLC Massachusetts DEP / ,Hvironmental Chemistry ' Environmental Services Site Assessment Quality Assurance Services AnalyticalSPOROKIN Site Sampling (: O R P O R Data Auditing Wastewater Treatment Services, Inc. CERTIFICATE OF ANALYSIS 44 Commercial Street REPORTED: 04/17/2006 Raynham, MA 02767 ORDER #: G0682262 COLLECTED BY: D.Koshiol SAMPLE DATE: 4/7/06 TIME: 10:00 DATE RECEIVED: 4/7/06 LOCATION: Mansfield, MA (MCF3104) SAMPLE ID: Lennon Trust Influent DESCRIPTION: WATER Ammoma, Nitrogen 350.1 EPA 350.1 04/11/20 11 mg/L 0.1 54.9 BOD ;SM 521OB 04/07/2006 mg/L I 4 260 IKjeldahl, Nitrogen EPA 351.2 04/12/2006 mg/L 0.50 62.0 Nitrate, Nitrogen 4110B !SM 411013 04/07/2006 J mg/L 0.50 !Oil & Grease, Gravimetric ;EPA 413.1 04/14/2006 1 mg/L 1.2 <0.50 PH SM 4500 H+B 04/07/2006 S.U. 0-14 19.2 6.9 Solids, Suspended SM 2540 D 04/1 I/2006 mg L 4 90.0 Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page I of 2 Environmental Chemistry Environmental Services Site Assessment AnalyticalCft�nce Site Sampling Quality Assurance Services Data Auditing C: O R P Ail 0 N CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street REPORTED: 04/17/2006 Raynham, MA 02767 ORDER #: G0682262 COLLECTED BY: D.Koshiol SAMPLE DATE: 4/7/06 TIME: 10:00 DATE RECEIVED: 4/7/06 LOCATION: Mansfield, MA (MCF3104) SAMPLE ID: Lennon Trust Effluent DESCRIPTION: WATER RESULTS OF ANALYSIS x L t' g 4 jTev Parameters LAB -ID#: 0682262-0z Ammonia, Nitrogen 350.1 'EPA 350.1 04/! I/2006 mg/L 0.1 5.99 BOD !SM 521OB 04/07/2006 mg/L 4 5.2 Kjeldahl, Nitrogen ;EPA 351.2 04/12/2006 mg/L 0.50 7.71 Nitrate, Nitrogen 411 OB SM 4110 B 04/07/2006 mg/L 0.50 22.4 Oil & Grease, Gravimetric iEPA 413.1 04/14/2006 mg/L 1.2 6.4 !pH SM 4500 H+B 04/07/2006 S.U. 0-14 6.9 Solids, Suspended SM 2540 D 04/11/2006 mg/L 4 14.0 NA = Not Applicable / ND = Not Detected Approved Byf -2`�� Y '<' =Less Than '*' = Detection Limit b Manag / Date Page 2 of 2 Annlyticn! Balance Corp., 422 West Grove Street, Middleboro, NIA 02346 Ph: 508-946-2225 Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. 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 6294 A. Installation Lennon Familv LLC 171 Ware Street Facility Street Address Mansfield 02048 City Zip Mailing address of owner, if different: 195 Washington Street Street Address/PO Box: North Easton MA City State 508 238 0780 ext. Telephone Number B. Authorized Service Provider Wastewater Treatment Services Inc. O&M Finn Commercial Street Raynham City MA State 02356 Zip 02767 Zip 508-880-0223 ext. Telephone Number David Koshiol 2976 Certified Operator Name Certification Number C. Facility/System Information MCF3 0 104 Bio-Microbics, Inc. FAST 3.0 DEP ID Manufacturer ID Model Number Installation Date Approval Type: 0 General 0 Provisional Seasonal Residence — used less than 6 mo./year: D. Operating Information 06/07/2000 Start of Operation Q Piloting ® Remedial 04/07/2006 Inspection Date Previous Inspection Date 12 Pumping Recommended Yes No Sludge Level p g 0 DEPMicroFASTnew.doc • 5/1/06 Page 1 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 6294 E. Field Testing Field Inspection Color: Q gray Q brown ® clear 0 turbid 0 other (specify): Odor: Q musty ® earthy Q moldy 0 offensive Q turbid Effluent Solids: ®no Q some pH SU DO mg/L. Turbidity 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 ® Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: 2640 Parameters sampled: ®pH ®BOD Q CBOD ® TSS Q TN ® Other (list below) Other t Ammonia Oil & Grease Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection and during this inspection Cleaned Filter, , , Splash Recycle, Notes and Comments: Alarm inside - not accessible. DEPMicroFASTnew.doc • 5ni06 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 6294 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 04/07/2006 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 st of each year for the previous calendar year 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 - 5ni06 Page 3 of 3 I N C 0 N P 0 N A T E 0 8450 Cole Parkway m Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 6294 e-mail: onsite(cDbiomicrobics 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 171 Ware Street Installation Address: Mansfield, MA 02048 Name: Wastewater Treatment Services, Inc. Owner Name: Lennon Family LLC Mail Address: 195 Washington Street North Easton, MA 02356 Mail Address: 44 Commercial Street Raynham, MA 02767 City State Zip Phone: 508 238 0780 Fax e-mail 508-880-0233 508-880-7232 Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out FAST 3.0 MCF3 0 104 06/07/2000 08/01/2005 -EQUIPMENT YES I NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating 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 Aerobic Treatment Zone EFFLUENT (optional) LIMIT RESULT Estimated Daily Flow 2640 gpd. H Standard Units Color _Temperature Odor Earth Comments: Alarm inside - not accessible. TECHNICIAN SERVICE DATE David Koshiol 04/07/2006 Environmental Chemistry Environmental Services Site Assessment Site Sampling Quality Assurance Services Analytical Balance Data Auditing C A R P R A T 1 0 N Wastewater Treatment Services, llte. CERTIFICATE OF ANALYSIS 44 Commercial Street REPORTED: Raynham, MA 02767 ORDER #: COLLECTED BY: D. Koshiol SAMPLE DATE: TIME: 10:00 DATE RECEIVED: LOCATION: MCF104 Mansfield, MA SAMPLE ID: Influent Composite DESCRIPTION: 02/17/2006 G0680640 2/2/2006 2/2/2006 Lennon WATER 'Ammonia, Nitrogen 350.1 -- BOD Kjeldahl, Nitrogen Nitrate, Nitrogen 4110B Nitrite, Nitrogen 4110B Solids, Suspended EPA 350.1 SM 5210B EPA 351.2 SM 4110 B SM 4110 B SM 2540 D 02/07/2006 02/03/2006 02/10/2006 02/02/2006 02/02/2006 I 02/03/2006 ——T-- mg/L mg/L mg/L mg/L mg/L mg/L --- 0.1 4 — 0.50 0.50 1 0.25 4 46.8 180 51.5 <0.50 <0 25 40.0 I �LE330=71 FEB 2 2 2006 BY: -------------------- Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page I of Environmental Chemistry Environmental Services Site Assessment , Analytical Balance Site Sampling Quality Assurance Services Data Auditing C O R D A T' 1 0 N CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street Raynham, MA 02767 COLLECTED BY: D. Koshiol TIME: 10:00 LOCATION: MCF104 Mansfield, MA Influent Grab REPORTED: 02/ 17/2006 ORDER #: G0680640 SAMPLE DATE: 2/2/2006 DATE RECEIVED: 2/2/2006 SAMPLE ID: Lennon DESCRIPTION: WATER !Test Parameters LAB-tD#: 0680640-02 Oil &Grease, Gravimetric EPA�13 02/16/2006 in 1 2-- — pH �SM � 02/02/2006 S.U. 0-14 7.0 �I CM9V3 1�1;41{IS FEB 2 2 2006 IIJII By: ------- ----------.. Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page 2 of 4 Environmental Chemistry Environmental Services Site Assessment AnalytARP�nce Site Sampling Quality Assurance Services Data Auditing C O R P O N CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street REPORTED: 02/17/2006 Raynham, MA 02767 ORDER #: G0680640 COLLECTED BY: D. Koshiol SAMPLE DATE: 2/2/2006 TIME: 10:00 DATE RECEIVED: 2/2/2006 LOCATION: MCF104 Mansfield, MA SAMPLE ID: Lennon Effluent Composite DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters LAB-IDN: 0680640-03 Ammonia, Nitrogen 350.1 EPA 350.1 02/07/2006 mg/L 0.1 3.05 BOD SM 5210B 02/03/2006 mg/L 4 14.8 Kjeldahl, Nitrogen EPA 351.2 02/10/2006 mg/L 0.50 4.35 Nitrate, Nitrogen 411 OB SM 4110 B 02/02/2006 mg/L 0.50 19.3 Nitrite, Nitrogen 411 OB SM 4110 B 02/02/2006 mg/L 0.25 0.44 Solids, Suspended SM 2540 D 1 02/03/2006 ( mg/L 4�— 4.5 g FEB 2006 3Y:------------- Page 3 0r4 flnntyticn/ Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Environmental Chemistry Site Assessment , Quality Assurance Services Analytical Balance C1 0 R P R .� A 'l' T O N CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street Raynham, MA 02767 COLLECTED BY: D. Koshiol TIME: 10:00 LOCATION: MCF104 Mansfield, MA Effluent Grab NA = Not Applicable ND = Not Detected '<' = Less Than '*' = Detection Limit Environmental Services Site Sampling Data Auditing REPORTED: 02/17/2006 ORDER #: G0680640 SAMPLE DATE: 2/2/2006 DATE RECEIVED: 2/2/2006 SAMPLE ID: Lennon DESCRIPTION: WATER Approved By (Malea l nager / Date FEB � `? 2006 ----------------- Page 4 or 4 Analytical Brr/mrce Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 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 A. Installation Important: Lennon Family LLC When filling out Owner forms on the computer, use 171 Ware Street only the tab key Facility Street Address to move your Mansfield 02048 cursor - do not use the return City Zip key. Mailing address of owner, if different: e 195 Washington Street Street Address/PO Box: N. Easton MA 02356 City State Zip 508 238 0780 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 MCF3 0 104 Bio-Microbics, Inc. FAST 3.0 DEP ID Manufacturer 10 Model Number 06/07/2000 Installation Date Start of Operation Approval Type: Q General 0 Provisional Q Piloting ® Remedial Seasonal Residence — used less than 6 mo./year: Q Yes ®No D. Operating Information 02/02/2006 Inspection Date Previous Inspection Date 12 Pumping Recommended ® Yes ONO DEPMicroFASTnew.doc • 3/2vp6 Page i of 3 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and OW Form for Title 51/A Treatment and Disposal Systems 6294 E. Field Testing Field Inspection Color: Q gray Q brown ® clear 0 turbid Q other (specify): Odor: Q musty R earthy Q moldy 0 offensive Q turbid Effluent Solids: Eno Q some pH SU DO mg/L. Turbidity 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 R Influent R Effluent Commercial systems or systems with a design flow of 2000 gpd and greater, and General Use nitrogen reducing systems: 2640 Parameters sampled: R pH R BOD 0 CBOD R TSS Q TN R Other (list below) Omer t Ammonia Oil & Grease Other 2 Other 3 G. Inspection and Maintenance Description of any maintenance performed since previous inspection and during this inspection Cleaned Filter, , , Splash Recycle Notes and Comments: Alarm inside - not accessible. System needs to be pumped. DEPMicroFASTnew.doc • 3121106 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 H. Certification 6294 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 02/02/2006 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 si 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 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 DEPMicroFASTnew.doc • 3/21/06 Page 3 of 3 dgQ sllasngoussujN DZZ x1ltuud uouuarl :olldoD saznsoloug IuomptdaQ oomioS •auI `saatnzaS IuauxluazZ zalumaMM `llaraaulS •uotleuuojul Iuuolllppu azmbaz zo suoilsonb Xuu anuq no! 3I Iluo asuald *VW `Platgsul3w - loozlS azuM I L I Iu Paluaol DZZ X1lun?d uouuarl 3o ifvodozd oql lu 90OZ/ZO/ZO uo pauuojlod soopuos zoj sllnsw Isol puu Izodag oolnxaS W uolloodsul plaid oql pug osuold pogoullV tol 0 £dOW :-tagwnil It!joS uzals,is 8JSFLd :3ou3.ia3ag r esu-088(809) :Xej f r 9OJL 7, vvi , S8d0-088 (809) :lal LWO yW 'wuqu/uy lawls Iulaaawwo0 bb lu013V glluaH :uolluolly 8bOZ0 VW `Plai3suulnl IaaIIS ISOM OS glluagJo pizog Plagsuulnl 900Z `IZ goj,2w 0 Jly� `0dJ'Y✓Y//�� fY�G32/> >/�7JL��O�� cam= 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 6294 e-mail: onsite(ftiomicrobics.com m www.blomicroblcs.com m 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTO System INSTALLATION AUTHORIZED SERVICE PROVIDER 171 Ware Street Installation Address Mansfield, MA 02048 Name Wastewater Treatment Services, Inc. Owner Name Lennon Family LLC Street Mail Address: 195 Washington Street N. Easton, MA 02356 Mail Address 44 Commercial Street Raynham, MA 02767 City State Zip Phone 508 238 0780 Fax e-mail 508-880-0233 508-880-7232 Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out FAST 3.0 MCF3 0 104 06/07/2000 08/01/2005 EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating 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 Aerobic Treatment Zone EFFLUENT (optional) LIMIT RESULT Estimated Daily Flow 2640 gpd.2640 H Standard Units) Color Temperature Odor Earth Comments: Alarm inside - not accessible. System needs to be pumped. TECHNICIAN SERVICE DATE David Koshiol 02/02/2006 MaN&((-wtel� 5�ca6qzm4 JclwyxeN% Ylio 44 Commercial Street ------ - Raynham, MA =7 02767 JAN 0 6 m 6 0 Tel: (508) 880-0233 Fax: (508) 880-7232 December 29, 2005 Mansfield Board of Health 50 West Street Mansfield, MA 02048 Attention: Health Agent Reference: FAST® Wastewater Treatment System Serial Number: MCF3 0 104 Attached please find the Field Inspection & Service Report and test results for services performed on 11/3 0/2005 at the property of Lennon Family LLC located at 171 Ware Street - Mansfield, MA. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Lennon Family LLC Massachusetts DEP Environmental Chemistry Site Assessment Quality Assurance Services Analytical Balance C O R P ... r I CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street Raynham, MA 02767 COLLECTED BY: D.Koshiol TIME: 09:15 LOCATION: Mansfield, MA (MCF104) Influent Composite REPORTED: ORDER #: SAMPLE DATE: DATE RECEIVED: SAMPLE ID: DESCRIPTION: Environmental Se Site Sall 12/13/2005 G0578883 11/30/2005 11/30/2005 Lennon WATER Data Au DEC 1 6 2005 BY: -------------------- Page 1 of J Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Environmental Chemistry Environmental Services Site Assessment y�Site Sampling Quality Assurance Services AnaVI&2 Balance Data Auditing A4 T 0 CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street Raynham, MA 02767 COLLECTED BY: D.Koshiol TIME: 09:15 LOCATION: Mansfield, MA (MCF104) REPORTED: 12/13/2005 ORDER #: G0578883 SAMPLE DATE: 11/30/2005 DATE RECEIVED: 11/30/2005 SAMPLE ID: Lennon Influent Grab DESCRIPTION: WATER �MCM97mD OEC ] 6 2005 BY---------------------- Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page 2 of 4 Environmental Chemistry Site Assessment Quality Assurance Services Analytical Balance Z— P t N CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc, 44 Commercial Street Raynham, MA 02767 COLLECTED BY: D.Koshiol TIME: 09:15 LOCATION: Mansfield, MA (MCF104) Effluent Composite REPORTED: ORDER #: SAMPLE DATE: DATE RECEIVED: SAMPLE ID: DESCRIPTION: RESULTS OF ANALYSIS 12/13/2005 G0578883 11/30/2005 11/30/2005 Lennon WATER Site 3amp17oQ Data Audlling Test Parameters LAB -ID#: 0578883-03 Ammonia, Nitrogen 3 50. 1 . EPA 350.1 12/07/2005 mg/L 0.1 2.74 BOD SM 5210B 12/05/2005 mg/L 4 13.8 Kjeldahl, Nitrogen EPA 351.2 12/09/2005 mg/L 0.5 4.50 Nitrate, Nitrogen 4110B SM 4110 B 11/30/2005 mg/L 0.50 17.4 Nitrite, Nitrogen 4110B SM 4110 B 11/30/2005 mg/L 0.25 0.72 Solids, Suspended SM 2540 D 12/05/2005 mg/L 4 8.0 _I DEC j. 6 2005 Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-9446 225 Yeee qra Environmental Chemistry Environmental Services Site Assesemant e �}� tt•/�ryry An r��r� /� BLt1L Slte Sampllnq Quality Assurance Services 1ical // cg bateAudifltig Y l' CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street REPORTED: 12/13/2005 Raynham, MA 02767 ORDER #: G0578883 COLLECTED BY: D.Koshiol SAMPLE DATE: 11/30/2005 TIME: 09:15 DATE RECEIVED: 11/30/2005 LOCATION: Mansfield, MA (MCF104) SAMPLE ID: Lennon Effluent Grab DESCRIPTION: WATER RESULTS OF ANALYSIS MENEM Test Parameters LAB -ID#; 0578883-04 Oil & Grease, Gravimetric IEPA 4111 12/06/2005 mg/L L2 1.9 pH ISM 4500 H+B 1 11/30/2005 1 S.U. 1 0-14 1 6.9 NA = Not Applicable ND = Not Detected 'C = Less Than '*' = Detection Limit Approved By: L6VManagj0/ Date DEC 1 6 2005 D BY,. Rage. J,aj4 _ Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title,h DEP Approved Inspectio "and O&M Form for Title OVA Treatment and Disposal Systems 6294 A. Installation Important: Lennon Family LLC When filling out Owner forms on the computer, use 171 Ware Street only the tab key Facility Street Address to move your Mansfield 02048 cursor - do not City Zip use the return key. Mailing address of owner, if different: -�:: 195 Washington Street ddress/PO Box; N. Easton N. Easton MA 02356 City - State Zip (508 238 0780 ext. Telephone Number B. Authorized Service Provider Wastewater Treatment Services, Inc. 0&M Firm 44 Commercial Street Street Address Raynham MA City Stale (508) — 880-0223 ext. Telephone Number David Koshiol 2976 Certified Operator Name Certification Number C. Facility/System Information 02767 Zip MCF3 0 104 Bio-Microbics, Inc. FAST 3.0 DEP ID Manufacturer's Name & ID Model Name & Number Installation Date 06/07/2000 Start of Operation Approval Type: _ General _ Provisional _ Piloting X Remedial Seasonal Residence — used less than 6 mo./year: _ Yes X No D. Operating Information 11/30/2005 Inspection Date Previous Inspection Date Sludge Depth (to be checked yearly) Pumping Recommended —Yes X No Color: Cloudv Odor: None Effluent Description DEPMicroFASTnew.doc • 12/28/05 Page 1 of 2 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 E. Sampling Samples Taken: X Influent X Effluent Parameters sampled: X pH X BOD X TSS — TN X Other (list below) Other t Ammonia, , ,Oil & Grease Other 2 Other 3 Description of any maintenance performed since previous inspection & during this inspection: Cleaned Filter,,, Splash Recycle, Notes and Comments: Also tested: , Nitrate, TKN, Nitrite. Alarm inside - not accessible. 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. David Koshioi 11130/2005 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: Remedial Use— by January Piloting & Provisional Use - General Use — by September 31st of each year for the within 30 days of inspection 30`t' 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 • 12/28f05 Page 2 of 2 / ' p 1 1MIL 03 I N C 0 A P 0 N A T E 0 8450 Cole Parkway m Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 6294 e-mail: onsiteablomicrobics.com m www.blomicrobics.com m 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 171 Ware Street Installation Address Mansfield, MA 02048 Name Wastewater Treatment Services, Inc. Owner Name Lennon Family LLC Street Mail Address: 195 Washington Street N. Easton, MA 02356 Mail Address 44 Commercial Street Raynham, MA 02767 City State Zip Phone 508 238 0780 Fax e-mail 508-880-0233 508-880-7232 Phone Fax e-mail INSTALLATION INFORMATION' Model No. Serial No. Date of Installation Date of last pump out FAST 3.0 MCF3 0 104 06/07/2000 08/01/2005 EQUIPMENT -. YES NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating 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 Aerobic Treatment Zone EFFLUENT (optional) LIMIT RESULT Estimated Daily Flow Apartments H Standard Units Color Cloud Temperature Odor None Comments: Alarm inside - not accessible. TECHNICIAN SERVICE DATE David Koshiol 11/30/2005 `Paste. cater- 91-WY/nent cfOWIC ', &C, March 29, 2005 Mansfield Board of Health 50 West Street Mansfield, MA 02048 Attention: Health Agent Reference: Single Home FAST® Treatment System Serial Number: MCF3 0 104 44 Commercial Street Raynham, MA 02767 Tel: (508) 880-0233 Fax: (508) 880-7232 00 Attached please find the Field Inspection & Service Report and test results for services performed on 03/14/2005 at the property of Lennon Family LLC located at 171 Ware Street - Mansfield, MA. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Lennon Family LLC Massachusetts DEP Envireninenhd Chemistry Site Assessment Quality Assurance Services Analytical Balance C O R P R s r 1 0 AT CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street Raynham, MA 02767 COLLECTED BY: D.Koshiol TIME: 11:00 LOCATION: Mansfield (104) Influent Composite Environmental Services Site Sampling Data Auditing REPORTED: 03/24/2005 ORDER4: G0569128 SAMPLE DATE: 3/14/2005 DATE RECEIVED: 3/14/2005 SAMPLE ID: Lennon DESCRIPTION: WATER nr.cTnTc nr AWAY VQTQ i esr raramete�s LAMM: 0569128-01 Ammonia, Nitrogen 350.1 EPA 350.1 03/16/2005 mg/L 0.1 26.5 BOD SM 5210B 03/16/2005 mg/L 4 71.4 Kjeldahl, Nitrogen EPA 351.2 03/17/2005 mg/L 0.5 33.7 INitrate, Nitrogen 411013 Solids, Suspended SM 4110 B SM 2540 D 03/14/2005 03/15/2005 mg/L mg/L 0.50 4 <0.50 52.0 Page I of 4 Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Environmental Cliemistly Site Assessment Quality Assurance Services Analytical Balance C O R P O R A T 1 O hT Wastewater Treatment Services, Inc. 44 Commercial Street Raynham, MA 02767 COLLECTED BY: D.Koshiol TIME: 11:00 LOCATION: Mansfield (104) Influent Grab CERTIFICATE OF ANALYSIS REPORTED: ORDER #: SAMPLE DATE: DATE RECEIVED SAMPLE ID: DESCRIPTION: RR.R/n.TS nV ANAr VQYQ Environmental Services Site Sampling Data Auditing 03/24/2005 G0569128 3/14/2005 3/14/2005 Lennon WATER . cos r urureesera LAN-mn: 0569128-02 Oil & Grease, Gravimetric IEPA 413.1 03/23/2005 mg/L 1.2 29.1 LpH ISM4500H+B 1 03/14/2005 1 S.U. 0-14 7.0 Page 2 of 4 Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Environmental Chemistry Site Assessment Quality Assurance Services Analytical Balance G O R Y R ... T I O N CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street Raynham, MA 02767 COLLECTED BY: TIME: LOCATION: D.Koshiol 11:00 Mansfield (104) Effluent Composite REPORTED: ORDER #: SAMPLE DATE: DATE RECEIVED: SAMPLE ID: DESCRIPTION: Environmental Services - Site Sampling Data Auditing 03/24/2005 G0569128 3/14/2005 3/14/2005 Lennon WATER RESULTS OF ANALYSIS Test Parameters LAB-IDH: 0569128-03 Ammonia, Nitrogen 350.1 JEPA 350.1 03/16/2005 mg/L 0.1 3.95 1 BOD SM 5210B 03/16/2005 mg/L 4 4.5 Kjeldahl, Nitrogen EPA 351.2 03/17/2005 mg/L 0.5 5.34 Nitrate, Nitrogen 4110B SM 4110 B 03/14/2005 mg/L 0.50 2.96 ~' Solids, Suspended SM 2540 D 03/15/2005 mg/L 4 <4.0 Page 3 or4 Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Environmental Chemistry Site Assessment Quality Assurance Services Analytical Balance C n R P R .. A 'L' 1 0 N Wastewater Treatment Services, Inc. 44 Commercial Street Raynham, MA 02767 COLLECTED BY: TIME: LOCATION: D.Koshiol 11:00 Mansfield (104) Effluent Grab CERTIFICATE OF ANALYSIS REPORTED: ORDER #: SAMPLE DATE: DATE RECEIVED: SAMPLE ID: DESCRIPTION: Environmental Services Site Sampling Data Auditing 03/24/2005 G0569128 3/14/2005 3/14/2005 Lennon WATER Fest Parameters LAn-IM: 0569128-04 Oil & Grease, Gravimetric EPA 413.1 03/23/2005 mg/L 1.2 <1.2 PH ISM 4500 H+B 03/14/2005 S.U. 0-14 7.2 NA = Not Applicable ND = Not Detected '<' = Less Than '*' = Detection Limit Approved By: Lab lnager ate Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page 4 of 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 A. Installation Important: Lennon Family LLC When filing out Owner —' forms on the computer, use 171 Ware Street only the tab key Facility Street Address to move your Mansfield 02048 cursor - do not M use the return city Zip key. Mailing address of owner, if different: ad 195 Washington Street Street Address/PO Box: N. Easton MA 02356 City State Zip (508 238 0780 ext. Telephone Number B. Authorized Service Provider Wastewater Treatment Services, Inc. O&M Finn 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 MCF3 0 104 Bio-Microbics, Inc. MicroFAST FAST 3.0 DEP ID Manufacturers Name & ID Model Name & Number 06/07/2000 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 03/14/2005 Inspection Date Previous Inspection Date Sludge Depth (to be checked yearly) Pumping Recommended X Yes _ No Color: Clear Odor: None Effluent Description DEPMicroFASTnew.doc - 3/29/05 Page 1 of 2 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 E. Samplina Information Samples Taken: X Influent X Effluent Parameters sampled: X pH X BOD X TSS — TN X Other (list below) Other f Ammonia, ,Oil & Grease Other 2 Other 3 Description of any maintenance performed since previous inspection & during this inspection: Cleaned Filter,,, Splash Recycle Notes and Comments: Also tested: , Nitrate, TKN, . Alarm inside - not accessible System needs to be pumped 1% 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. David Koshioi 03/14/2005 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: Remedial Use— by January Piloting & Provisional Use - General Use — by September 31"of each year for the within 30 days of inspection 3& 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 • 3/29/05 Page 2 of 2 ► � II 1 � ► I NC 0 N P ON AT EI) 8450 Cole Parkway m Shawnee, KS 66227 m Phone 913-422-0707 m Fax: 912-422-0808 4330 e-mail: onsite(@biomicrobics.com m www.biomicrobics.com w 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTO System INSTALLATION AUTHORIZED SERVICE PROVIDER 171 Ware Street Installation Address Mansfield, MA 02048 Name Wastewater Treatment Services, Inc. Owner Name Lennon Family LLC Street Mail Address: 195 Washington Street N. Easton, MA 02356 Mail Address 44 Commercial Street Raynham, MA 02767 City State Zip Phone 508 238 0780 Fax e-mail 508-880-0233 508-880-7232 Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pump out FAST 3.0 MCF3 0 104 06/07/2000 10/01/2002 EQUIPMENT YES NO MAINTENANCE PERFORMED AND COMMENTS Electrical Panel(s) Visual Alarm Operating Audio Alarm Operating 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 Aerobic Treatment Zone EFFLUENT (optional) LIMIT RESULT Estimated Daily Flow Apartments H Standard Units Color Clear Temperature Odor None Comments: Alarm inside - not accessible. System needs to be pumped. TECHNICIAN SERVICE DATE David Koshiol 03/14/2005 2lUasce�oat�i� �Teatmerz� Jer�c�s,, �.z�. 44 Commercial Street Raynham, MA 02767 Tel: (508) 880-0233 Fax: (508) 880-7232 October 25, 2004 Mansfield Board of Health 50 West Street Mansfield, MA 02048 Attention: Health Agent Reference: Single Home FAST® Treatment System Serial Number: MCF3 0 104 Attached please find the Field Inspection & Service Report and test results (as required) for services performed on 09/27/2004 at the property of Lennon Family LLC located at 171 Ware Street - Mansfield, MA. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Lennon Family LLC Massachusetts DEP Environmental Chemistry Environmental Services Site Assessment Site Sampling Quality Assurance Services Analytical Balance Data Auditing (: O R Y O R A T 1 0 N CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street REPORTED: 10/08/2004 Raynham, MA 02767 ORDER #: G0464464 COLLECTED BY: D.Koshiol SAMPLE DATE: 9/28/2004 TIME: 16:00 DATE RECEIVED: 9/29/2004 LOCATION: Mansfield MCF3.0 104 (Influent) SAMPLE ID: Lennon Composite DESCRIPTION: WATER 1016111N RK119I:1J111_'bYL.7 Test Parameters LAD-IDN: 0464464.01 Ammonia, Nitrogen 350.1 EPA 350.1 09/29/2004 mg/L 0.1 58.9 BOD SM 5210B 09/30/2004 mg/L 4 110 Kjeldahl, Nitrogen EPA 351.2 10/07/2004 mg/L 0.5 61.8 Nitrate, Nitrogen 4110B SM 4110 B 09/29/2004 mg/L 0.50 <0.50 Nitrite, Nitrogen 4110B SM 4110 B 09/29/2004 mg/L 0.25 <0.25 Solids, Suspended SM 2540 D 10/04/2004 1 mg/L 4 88.0 Page 1 of Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Environmental Chemistry Site Assessment Quality Assurance Services Analytical Balance G O R P O R A T I n N CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc, 44 Commercial Street Raynham, MA 02767 COLLECTED BY: D.Koshiol TIME: 16:00 LOCATION: Mansfield MCF3.0 104 (Influent) Grab Environmental Services Site Sampling Data Auditing REPORTED: 10/08/2004 ORDER #: G0464464 SAMPLE DATE: 9/28/2004 DATE RECEIVED: 9/29/2004 SAMPLE ID: Lennon DESCRIPTION: WATER Page 2 of a Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Environmental Chemistry Environmental Services Site Assessment Balance Site Sampling Quality Assurance Services Analytical �JGl1G41 ce Data Auditing CI O R P O R A '1' T O N, CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street REPORTED: 10/08/2004 Raynham, MA 02767 ORDER #: G0464464 COLLECTED BY: D.Koshiol SAMPLE DATE: 9/28/2004 TIME: 16:00 DATE RECEIVED: 9/29/2004 LOCATION: Mansfield MCF3.0 104 (Effluent) SAMPLE ID: Lennon Composite DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters LAB-IDN: 0464464-03 Ammonia, Nitrogen 350.1 EPA 350 11 09/29/2004 mg/L 0.1 1.15 BOD SM 5210B 09/30/2004 mg/L 4 11.3 Kjeldahl, Nitrogen EPA 351.2 10/07/2004 mg/L 0.5 2.82 Nitrate, Nitrogen 4110B SM 4110 B 09/29/2004 mg/L 0.50 13.8 Nitrite, Nitrogen 4110B SM 4110 B 09/29/2004 mg/L 0.25 0.73 Solids, Suspended S&f 2540 D 10/04/2004 1 mg/L 4 6.0 Page 3 of 4 Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Environmental Chemistry Site Assessment Quality Assurance Services Analytical Balance G -OR P O R. A T 1 O N Wastewater Treatment Services, Inc. 44 Commercial Street Raynham, MA 02767 CERTIFICATE OF ANALYSIS COLLECTED BY: D.Koshiol TIME: 16:00 LOCATION: Mansfield MCF3.0 104 (Effluent) Grab REPORTED: ORDER #: SAMPLE DATE: DATE RECEIVED: SAMPLE ID: DESCRIPTION: Environmental Services Site Snmpling Data Auditing 10/08/2004 G0464464 9/28/2004 9/29/2004 Lennon WATER mLAB-ID#: 0464464-04uease, .1 001.2 <1.2Gruererse� Oi& pH ISM 4500 H+B 1 09/29/2004 1 S.U. 0-14 7.0 1 NA = Not Applicable ND = Not Detected '<' = Less Than '*' = Detection Limit Approved By �B Manag / Da[e Page 4 of 4 Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 NLIMassachusetts 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 A. Installation Important: Lennon Family LLC When filling out Owner --- forms on the computer, use 171 Ware Street only the tab key Facility Street Address to move your Mansfield 02048 cursor - do not use the return City Zip key. Mailing address of owner, if different: "" 195 Washington Street Street Address/PO Box: N. Easton MA 02356 ren✓n City State Zip (508 238 0780 ext. Telephone Number B. Authorized Service Provider Wastewater Treatment Services, Inc O&M Finn 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 MCF3 0 104 Bio-Microbics, Inc. FAST 3.0 DEP ID Manufacturer's Name & ID Model Name & Number _ 06/07/2000_ 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 09/27/2004 Inspection Date Previous Inspection Dale 8.01, Sludge Depth (to be checked yeadyj Pumping Recommended _ Yes X No Color: Clear Odor: None _ Effluent Description --- ---- DEPMicroFASTnew.doc • 10/25/04 Page 1 of 2 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 4330 E. Sampling Information Samples Taken: —Influent X Effluent Parameters sampled: X pH X BOD X TSS — TN X Other (list below) Other t Ammonia, Oil & Grease Other 2 Other 3 Description of any maintenance performed since previous inspection & during this inspection: Cleaned Filter Notes and Comments: accessible. 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. David Koshiol 09/27/2004 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 Piloting & Provisional Use - General Use — by September 31s' of each year for the within 30 days of inspection 30'h of each year for the previous calendar year date previous 12 months Department of Environmental Protection Attention: Title 5 Program One Winter Street, 61h Floor Boston. MA 02108 DEPMicroFASTnew.doc • 10/25/04 Page 2 or 2 n P O n A i E D 8450 Cole Parkway a, Shawnee, KS 66227 Phone 913-422-0707 n Fax: 912-422-0808 4330 e-mail: onsite(ftlomicrobics com www.biomicrobics.com m 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 171 Ware Street Installation Address Mansfield, MA 02048 Owner Name Lennon Famil LLC Name Wastewater Treatment Services, Inc. Street Mail Address: 195 Washington Street N. Easton, MA 02356 Mail Address 44 Commercial Sheet Raynham, MA 02767 City State Zip Phone 508 238 0780 Fax e-mail 508-880-0233 508-880-7232 Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. FAST 3.0 MCF3 0 104 EQUIPMENT YES NO Electrical Panel s Date of Installation Date of last pump out 06/07/2000 10/01/2002 MAINTENANCE PERFORMED AND COMMENTS Visual Alami 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 unit(s) Unusual Odor -' - ------- --- Pum out Re aired: X Primar Settlin Zone Aerobic Treatment Zone EFFLUENT 0 tional LIMIT RESULT Estimated Dail Flow A artments H (Standard Units) Color Clear Tem erature Odor None Comments: Alarm inside -not accessible. TECHNICIAN SERVICE DATE David Koshiol 09/27/2004 Jerv6ceN,, Y1w. JUL 1 ii 2JC14 July 13, 2004 Mansfield Board of Health 50 West Street Mansfield, MA 02048 Attention: Health Agent 44 Commercial Street Raynham, MA 02767 Tel: (508) 880-0233 Fax: (508) 880-7232 Reference: Single Home FAST® Treatment System Serial Number: MCF3 0 104 At ease fiind a Field Inspection & Service Report and test results (as required) for services performed n 06/21/2004 at the property of Lennon Family LLC located at 171 Ware Street -1VIa sfield, MA. Please call if yo ave any questions or require additional information. tncere y, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Lennon Family LLC Massachusetts DEP 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 2659 A. Installation Important: Lennon Family LLC When filling out Owner forms on the computer, use 171 Ware Street only the tab key Facility Street Address to move your Mansfield 02048 cursor - do not use the return City Zip key. Mailing address of owner, if different: 1� 195 Washington Street Street Address/PO Box: N. Easton MA _ 02356 city State Zip (508 238 0780 ext. Telephone Number B. Authorized Service Provider Wastewater Treatment Services, Inc. 0&M Firm 44 Commercial Street Street Address Raynham MA 02767 City State Zip (508) — 880-0223 ext. Telephone Number John Donovan 11733 Certified Operator Name Certification Number C. Facility/System Information MICH 0 104 Blo-Microbics, Inc. FAST 3.0 DEP ID Manufacturers Name & ID Model Name & Number Installation Date 06/07/2000 Start of Operation Approval Type: _ General _ Provisional _ Piloting X Remedial Seasonal Residence — used less than 6 mo./year: _ Yes X No D. Operating Information 06/21 /2004 Inspection Date Sludge Depth (to be checked yearly) Color: Cloudy Odor: None Effluent Description Previous Inspection Date Pumping Recommended _ Yes X No DEPMicroFASTnew.doc • 7/13/04 Page t of 2 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Title 5 DEP Approved Inspection and O&M Form for Title 51/A Treatment and Disposal Systems 2659 E. Sampling Information Samples Taken: _ Influent X Effluent Parameters sampled: X pH X BOD X TSS — TN X Other (list below) Other 1 Ammonia, , , Oil & Grease Other 2 Other 3 Description of any maintenance performed since previous inspection & during this inspection: Cleaned Filter. Notes and Comments: Alarm inside - not accessible. 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. John Donovan 06/21/2004 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 Piloting & Provisional Use - General Use — by September 31" of each year for the within 30 days of inspection 301h of each year for the previous calendar year date previous 12 months Department of Environmental Protection Attention: Title 5 Program One Winter Street, 6'h Floor Boston. MA 02108 DEPMicroFASTnew.doc • 7/13/04 Page 2 or 2 I N CO n P GNAT EO 8450 Cole Parkway m Shawnee, KS 66227 ro Phone 913-422-0707 m Fax: 912-422-0808 2659 e-mail: onsite(a)biomicrobics com www.biomicrobics.com m 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FASTO System INSTALLATION 171 Ware Street Mansfield. MA 02048 Owner Name Lennon Family LLC Mail Address: 195 Washington Street N. Easton, MA 02356 Phone 508 238 0780 Fax e-mail INSTALLATIC Model No. Serial No. FAST 3.0 MCF3 0 104 EQUIPMENT YES I NO Audio Alarm 'filter Clean X )od Vents Clear X Noise Excessive Vibration X Treatment unit(s) Unusual Odor Pum out Required: X Primary Settling Zone Aerobic Treatment Zone EFFLUENT (optional) LIMIT RESULT AUTHORIZED SERVICE PROVIDER Name Wastewater Treatment Services, Inc. Street Mail Address 44 Commercial Street Raynham, MA 02767 City State Zip 508-880-0233 508-880-7232 Phone Fax a -mail Date last pump out COMMENTS Comments: Alarm inside - not accessible. I SERVICE DATE 06/21/2004 Environmental Chemistry Environmental Services Site Assessment Analytical _ Balance Site Sampling Quality Assurance Services Data Auditing CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street Raynham, MA 02767 COLLECTED BY: J.Donovan TIME: 8:00 LOCATION: 171 Wax St., Mansfield, MA (MCF03104) Influent Composite REPORTED: 07/02/2004 ORDER #: G0460280 SAMPLE DATE: 6/21/04 DATE RECEIVED: 6/21/04 SAMPLE ID: Lennon DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters LAB -ID#: 0460280-01 Ammonia, Nitrogen 350.1 EPA 350.1 06/21/2004 mg/L 0.1 30.7 BOD SM 5210B 06/23/2004 mg/L 4 120 Nitrate, Nitrogen 4110B SM 4110 B 06/21/2004 mg/L 0.50 <0.50 Oil & Grease, Gravimetric EPA 413.1 06/27/2004 mg/L 1.2 23.1 Solids, Suspended SM 2540 D 06/24/2004 mg/L 4 44.0 Page t of Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Environmental Chemistry Environmental Services Site Assessment tBalance Site Sampling Quality Assurance Services Analytical Data Auditing CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc 44 Commercial Street REPORTED: 07/02/2004 Raynham, MA 02767 ORDER #: G0460280 COLLECTED BY: J.Donovan SAMPLE DATE: 6/21 /04 TIME: 8:10 DATE RECEIVED: 6/21/04 LOCATION: 171 Wax St., Mansfield, MA (MCF03104) SAMPLE ID: Lennon Influent Grab DESCRIPTION: WATER TS OF ANALYSIS Page 2 or 4 Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Environmental Chemistry Environmental Services Site Assessment Analytical Balance Site Sampling Quality Assurance Services Data Auditing CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street REPORTED: 07/02/2004 Raynham, MA 02767 ORDER #: G0460280 COLLECTED BY: J.Donovan SAMPLE DATE: 6/21/04 TIME: 7:50 DATE RECEIVED: 6/21/04 LOCATION: 171 Wax St., Mansfield, MA (MCF03104) SAMPLE ID: Lennon Effluent Composite DESCRIPTION: WATER ANALYSIS 77�� Fst x r d C tl 11 SM 5210B 1. 11' mg/L NitrogenIC SM 4110 B 0 00 050 ,. tl I ill & Grease, EPA 413.1 1. 00 Sollds, Suspended4 II 1. 10 1 Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page 3 of 4 Environmental Chemistry Site Assessment Environmental Services Quality Assurance Services Analytical Balance Site SamplingData Auditing CERTIFICATE OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street Raynham, MA 02767 COLLECTED BY: J.Donovan TIME: 7:55 LOCATION: 171 Wax St., Mansfield, MA (MCF03104) Effluent Grab RESULTS OF A 4500 H+B 1 06/21/2004 NA = Not Applicable ND =Not Detected Less Than '*' = Detection Limit REPORTED: 07/02/2004 ORDER #: G0460280 SAMPLE DATE: 6/21/04 DATE RECEIVED: 6/21/04 SAMPLE ID: Lennon DESCRIPTION: WATER S.U. 1 0-14 7.4 Approved By: +• b Mana e / ate Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Page 4 of i +/ y 6 u Y_ April 28, 2003 Mansfield Board of Health 50 West St. Mansfield, MA 02048 Attention: Health Agent Reference: Single Home FAST® Treatment System Serial Number: MCF3 0 104 44 Commercial Street Raynham, MA 02767 Tel:(508) 880-0233 Fax: (508) 880.7232 Attached please find the Field Inspection & Service Report and test results (as required) for services performed on 03/26/2003 at the property of Lennon Family LLC located at 171 Ware Street - Mansfield, MA. Please call if you have any questions or require additional information. Sincerely, Wastewater Treatment Services, Inc. Service Department Enclosures Copy to: Lennon Family LLC COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, SOSTON, M,k o3Io8 8l1.303 3doU DEP Approved Inspection and O&VI Form for Title 5 I/A Treatment and Disposal Systems bail Address: I= Notes and Installation I certify: I have inspected the s attached m ai'turer's o 'rat Of the time f the i spec ory I 171 Ware Street Mansfield, MA Lennon Family LLC 195 Washington Street N.Easton, MA 02356 5082380780 C L L�2 G o v�D System owner must submit this report, manufacturer's O&:�I checklist, and any required sampling results to the local Board of Health and DEP as follows for each inspection Performed: Authorized Service Provider Wastewater Treatment Services, Inc. Raynham, MA 02767 (508)880-0233 Celt No.: 4 non Date: I Start Seasonal i ence - used lest Yes No Operating Information than 6 mo✓year: 31aa9e uepm: (to becheckedyady) Pumping F } Yes N Attach copy of certified la results. Checiall thar are required Samples: Muent—V Effluent P r eers• pH OD SS er and During this Inspection: 6/7/00 07 c_ 4 nt and disposal system at the address above, have completed this report and the .Hance checklist, and the information reported is true, accurate, and complete as usetrs certified operator in accordance with 257 CMR 2.00. Date Remedial Use- by January ;1 a of Department of Environmental each year for the previous calendar Protection year Piloting & Provisional Use - within Attn: Title 5 Program LQ days of inspection date One Winter Street, 6'" Floor General Use - by September 30 ° of Boston, �La U2108 each year for the previous 12 months (Caele) 511101 Environmental Chemistry Environmentnl Services Site Analvdcal _Balance SiteSampling Quality Assurance Services Data Auditing CFRTIFICATF OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street REPORTED: 04/24/2003 Raynham, MA 02767 ORDER #: G0345506 COLLECTED BY: J.Donovan SAMPLE DATE: 3/28/2003 TIME: 14:00 DATE RECEIVED: 3/28/2003 LOCATION: Influent SAMPLE ID: Lennon Composite DESCRIPTION: WATER Test Parameters LAB-IDa: 0345506-01 Ammonia, Nitrogen 350.1 EPA 350.1 03/31/2003 mg/L 0.1 54.3 _ BOD SM 5210B 03/28/2003 mg/L 4 200 Kjeldahl, Nitrogen EPA 351.2 04/04/2003 mg/L 0.5 59.6 Nitrate, Nitrogen 411013 SM 4110 B 03/28/2003 mg/L 0.50 <0.50 .Solids, Suspended SM 2540 D 04/03/2003 mg/L 4 68.0 Pagel or4 Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Environmental Chemistry Site Assessment Quality Assurance Services Wastewater Treatment Services, Inc. 44 Commercial Street Raynham, MA 02767 COLLECTED BY: J.Donovan TIME: 14:00 LOCATION: Influent Grab Environmental Services Site Sampling Data Auditing CERTIFICATE OF ANALYSIS REPORTED: 04/24/2003 ORDER #: G0345506 SAMPLE DATE: 3/28/2003 DATE RECEIVED: 3/28/2003 SAMPLE ID: Lennon DESCRIPTION: WATER RESULTS OF ANALYSIS Page 2 of 4 Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Enviro unenhd Chemistry Site Assessment Quality Assurance Services Wastewater Treatment Services, Inc. 44 Commercial Street Raynham, MA 02767 COLLECTED BY: J.Donovan TIME: 14:00 LOCATION: Effluent Composite Environmental Services ' Site Sampling Aal,'djBalance Data Auditing CERTIFICATE OF ANALYSIS REPORTED: 04/24/2003 ORDER #: G0345506 SAMPLE DATE: 3/28/2003 DATE RECEIVED: 3/28/2003 SAMPLE ID: Lennon DESCRIPTION: WATER RESULTS OF ANALYSIS Test Parameters LAB -ID".: 0345506-03 Ammonia, Nitrogen 350.1 EPA 350.1 03/31/2003 mg/L 0.1 34.5 BOD SM 5210B 03/28/2003 mg/L 4 6.4 Kjeldahl, Nitrogen EPA 351.2 04/04/2003 mg/L 0.5 33.1 Nitrate, Nitrogen 411 OB SM 4110 B 03/28/2003 mg/L 0.50 0.54 Solids, Suspended SM 2540 D 04/0312003 mg/L 4 5.0 1 Page 3 of 4 Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 Environmental Chemistry Environmental Services Site Assessment Site Sampling Quality Assurance Services nalytlea Balance Data Auditing G O R P O R A 'I' 1 O N CFRTIFICATF OF ANALYSIS Wastewater Treatment Services, Inc. 44 Commercial Street REPORTED: 04/24/2003 Raynham, MA 02767 ORDER #: G0345506 COLLECTED BY: J.Donovan SAMPLE DATE: 3/28/2003 TIME: I4:00 DATE RECEIVED: 3/28/2003 LOCATION: Effluent SAMPLE ID: Lennon Grab DESCRIPTION: WATER RESULTS OF ANALYSIS NA = Not Aoolicable ND = Not Detected '<' = Less Than '*' = Detection Limit Approved By: ---y .� m .j �j+ryrI onager / Date Page 4 of 4 Analytical Balance Corp., 422 West Grove Street, Middleboro, MA 02346 Ph: 508-946-2225 INC0RF0RATE0 8450 Cole Parkway ■ Shawnee, KS 66227 ■ Phone 913-422-0707 ■ Fax: 912-422-0808 e-mail: onsiteCrDbiomicrobics com ■ www.biomicrobics.com ■ 800-753-FAST(3278) FIELD INSPECTION & SERVICE REPORT For Bio-Microbics Single Home FAST® System INSTALLATION AUTHORIZED SERVICE PROVIDER 171 Ware Street Installation Address MansfieldMA 02048 Owner Name Lennon Family LLC Name Wastewater Treatment Services, Inc. Street Mail Address: 195 Washington Street N. Easton, MA 02356 Mail Address 44 Commercial Street Raynham, MA 02767 City State Zip Phone 5082380780 Fax e-mail 508-880-0233 508-880-7232 Phone Fax e-mail INSTALLATION INFORMATION Model No. Serial No. Date of Installation Date of last pumpout MicroFAST MCF3.0104 6/7/00 E UIPMENT Electrical Panel s YES NO : MAINTE'NANCE PERFORMED AND. COMMENTS,a f= Visual Alarm eratin Audio Alarm Operating if resent Blower(s) Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment unit(s) Unusual Odor Pum out Re aired: Prim Settlin Zone Aerobic Treatment Zone EFFLUENT o tional LIMIT RESULT Estimated Dail Flow 24 Bedrooms H Standard Units) Color C Tern crature Odor TECHN[ANSLGNATDRE SERVICE DATE O