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HomeMy WebLinkAbout2004 01-11 E � ~ � _ . Massachusetts �epartment af Envi�onmec�tat Protection ��-- �� � I � Eiureau of Resocuce Fmtection-T�tte� � � � DEP �1 rovecf l�spec�ion and 08�t�! Form fo� 1'it�e 5 !fA � � pp Trea�nerrt and D�sposai Systems ' - f . � A. lns ta�ian � I : ,,,�,� � r r-�j - I ��� � , ��� j ��� � � �'��� � � �� ��� � � to r�+re Wtsot-�dusr^t � � ( P � usa th�s reRum � i ; key. AAailing ac3dress af c�wner,lf�ffetent i ; � �� ' � � � ��� _ � � �� � . � � � f�; �i�- �� ���� ; � • B. Au#har�ed Serv��e Provic�er ; JC�t�9/�!u/�G� �flV�{�?r't�J�'i►Pn7�3� .�P�'Vt�'P,S , .Ln�G _ � vea��-� �� ���i'��i rl/i ��-- " � �'��1+A��Pi1l-�. _ �� ����� � { _- � z� i ( �i}��� - D13oext i � T�'✓lJP�����f�''�itS •��S"7 � c�Iea ap�a��e c��er ; ' � i y i C.'�3Cir[�'1.r?�/S#�'iti �i'I�Gi'i7t3ti4i1 j � j o s���� �oR�lPc o �'(�c3 x o�ro � � +�a��o ��� : S - � 1 Statt af ` AQproYa!Type:Q Generai[�P�visior:al�P�loting[]Rerr�ediat � l� i �easanai Residence—u�ct less#�6 maJyear:[�Y��Na ', � . � � , - � - � fl. �Dp� ' tn�'o atio� �� �� i � �'�'«� s�.�+� � Puc:�pins Recammenaed Q Yes II� � : �st D�R i T51AOM1•3�B�o2 as9a t af 2 II t Massach+�setts DepartEneat of Er�virox�mer�t�l Prcrtectios� /}� �— I(� �- � Bureau of Resourc� Pro#e.ctio�-Tite 5 1+ r f , r ; l 7 t E F �4 p p r t�v�� �n s p e c tior� and �J�M Fo:m far Ti#!e 5 �1 Treatme�# a�d �?isposa! Sys�e� . E. Sampti�ag Informa#ior� Samples Taken:Q Ir�uent[,�Eif�uent . � . Pa�e�����H��o L7 Tss❑ atr�e�c�r�� � pt��Z er 2 tNtref s Descripaori af ar�y m " perfarmed smcc�pre4riaus ir�ec5cn 8�during ifiis inspectiorr. � �3 � F � � ofes and Gomrrtents c � ���7� � . ; �l• ' i � �� � . . ! ��.. lv �j�1 . . � . F. Geftificatian - E 1 certiiy:l h�ve inspected the s�age#reatcnent and disposai sy�tem at the address abave.havs complet�d triis repo�t and the a#ta�E�ed techneiagy eaera6on and maintenaRce chec�tist,and the '� infcrrnation repcx�e�is tsus, rate,and co�piete as of the�t�ne af the irsspec�ian. i am a : � wi#�t 257 CMR�• , � .,�- l� '�7� F /�� �! - �� �- �- 2 4 � ' System ownet must submit this report,�ac�noiogy dB�ilA cnecsclisz.a'�.anY'eqair=c samciing�suns tc the lacal board of hea�ttt acx#OEP as ic�laws for eactz inspection perfarnned: s Re�ediai Use—by.ianuary PlEating&Provisicnat Use- Genen!Uae—by Sept�ember ' 3'i vf eacfi year i+o�the within 30 days of inspection 3�"'af eact�Year for the '�' � pneviou5 calendar year' d�te previous 12 manths � i � ti ! i Depa�ime�t of Er3vironmentaf Protecti�n � ► Ht�er►#aon: T'�le 5 Pr�ram � C�ne Wmter S#reet,6�'�toor I � Soston.MA 02'f tI8 � . . ; � � , , ; � Paq�2 ot z ! T5lA+OM1 •3t28b2 � ; . , � : � ; i I i : � t�� / U J 1�1.�� ���e l�� SL�TGLZAIIt SERYiCE C'AECI�LIS"�` _ (with same fiiter� ;,u fiIter�gtit in tub_n,a , c3ean water inta it unt�1 the sEs�xo__: l_lv y-l_f �� x.�d����a�����a DATE t?F SERVICE:- -- uie t3ange.inxzc sompressea SERVIG"�PE1t�URMED BY. __ a'u hos�and agitate with air. _ {Iai[�is) ��P a€���5 u'ith ckau , : � V[►c�k�+bt oerformed w�'slowiy flovt�sng autii the 33one exetueg water is ciear. F�rst Remaae concrett caver,check F'�nish hosiag down fattrr ; +chami�er for ttormaF avater levai ��b�� ,I Chcck sludge depth after . s�ond 3�'o��at�n ApPiy lubci�nt to t�iora�ffau�e � �Sll�id RCAtQVC WI�SC CO�ICf � . . �� � � �BCC�i�1CT!Il���CC.�2 1AF1�2 . � . . � CIC�1 W3�CI 3�Slti�[it Wfl CI C.� �l Bi�SBL TO`��lT _ i �tttes p�sition . Ttaa out lvekiag tabs,replace � . ftl�r covts � Secand Qiedc air ftow duaugl+a� 1 e�Nb� R+�giaoe canaete cawar ' Unplu,g aerat�aud lift out Fust Reglxe concrete cover . . ch�mber t�for w�ca rubber p� Sec�oad Ftug ia aesa�r � t�x]c for weu c�tp�obtems� �. . CIu�Wi[E ia rises far�sbg. Cro�wae sa ic u ncx in coMact tape if naeded mm aanythiug ` Wask off aeran��pe�t it back Reptace�e wvec Haok up a�trr,check Coa+�`ol -Pea switch on"Ai1T0" cuctr.nc v�'�h aa��r mm�ing, �ee;uz position t+eatows`r��6cait• ! Ctast�d[ack ct>ver .� Tbird xer�ire�wvet and ,� chainber cediove filter tnp. Read aud re�d hnur meter 1 ., TUcn in bL�ctc�cking tabs Pa� Lramc�iae of service wid, ' work awner i Install pumg a�stact pumgia� ftam fiioer ta fsrsc chaialur ' Nocc in ownpaa�tt�e anp ` C.ift fffcer wit6 cope as� irregcelarity�ar p�ob[em ' necessary F�rlicate if arey€a#tow-ug is ; Lift otu ffktr�;puE it m dib nocessazy i qesn tlie ottcsid�of 6i�wish Be sace ta comptttafile qn lv�cr,draitt back no fust sav��eturn it to o�'ict � chaznbex n�nEA�tQ: �P�u f'�� �e c✓` �''�� f�af.,� ,' �/j'`�i✓� ��t!�!� � ' //�� ^��d �i�.