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Home My WebLink AboutGrease Trap - Septic Pumping Slip - 315 TURNPIKE STREET 1/8/2024 � Commonwealth of Massachusetts City/Town of North Andover Oti' System Pumping Record �,��► Form 4 DEP has provided this form for use by local Boards of Health.Other forms may be used,but the information must be substantially the same as that provided here.Before using this form,check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority within 14 days from the pumping date in accordance with 310 CMR 15.351. A. Facility Information 1. System Location: 315 Turnpike Street Address North Andover MA 01845 City/Town State Zip Code 2. System Owner: Casella Organics Name 283 Smith Road Address(if different from location) Chateaugay NY 12920 City/Town State Zip Code 6032905835 Telephone Number B. Pumping Record 1. Date of Pumping 12/04/2023 2. Quantity Pumped: 4200.0000 Date Gallons 3. Component: Cesspool(s) Septic Tank ❑Tight Tank �Grease Trap Other(describe): 4. Effluent Tee Filter present? ❑Yes 0 No If yes, was it cleaned? Yes ❑ No 5. Observed condition of component pumped: Not Applicable water level. Oin bottom sludge. Oin top solids. Main line Clear. No filter is present on the tank; current tank is not designed to be used with a filter. Cover(s) secured. No 3rd party paperwork filled. 6. System Pumped By: Glenn Perry Name Vehicle License Number Wind River Environmental, 46 Lizotte Drive, Suite 1000, Marlborough, MA 01752 Company 7. Location where contents were disposed: Vanguard Renewables - Located in Haverhill: 1058 Boston Road, Haverhill, MA Glenn Perry 12/04/2023 Signature of Hauler Date Signature of Receiving Facility(or attach facility receipt) Date t5form4.doc•11/12 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts = City/Town Of North Andover System Pumping Record , Form 4 "M DEP has provided this form for use by local Boards of Health.Other forms may be used,but the information must be substantially the same as that provided here.Before using this form,check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority within 14 days from the pumping date in accordance with 310 CMR 15.351. A. Facility Information 1. System Location: 315 Turnpike Street Address North Andover MA 01845 City/Town State Zip Code 2. System Owner: Casella Organics Name 283 Smith Road Address(if different from location) Chateaugay NY 12920 City/Town State Zip Code 6032905835 Telephone Number B. Pumping Record 1. Date of Pumping 11/10/2023 2 Quantity Pumped: 4250.0000 Date Gallons 3. Component: Cesspool(s) Septic Tank ❑ Tight Tank 0 Grease Trap ❑ Other(describe): 4. Effluent Tee Filter present? Yes g No If yes, was it cleaned? R YesEj No 5. Observed condition of component pumped: Normal water level. lin bottom sludge. lin top solids. Main line Not Applicable . No filter is present on the tank; current tank can be outfitted with a filter. Cover(s) secured. No 3rd party paperwork filled. 6. System Pumped By: Pierre Polynice Name Vehicle License Number Wind River Environmental, 46 Lizotte Drive, Suite 1000, Marlborough, MA 01752 Company 7. Location where contents were disposed: Vanguard Renewables - Spencer Anerobic Digester: 56 Northwest Road, Spencer Pierre Polynice 11/10/2023 Signature of Hauler Date Signature of Receiving Facility(or attach facility receipt) Date t5form4.doc-11112 System Pumping Record-Page 1 of 1 Commonwealth of Massachusetts �10, City/Town of North Andover NO System Pumping Record 01 Form 4 "M DEP has provided this form for use by local Boards of Health.Other forms may be used,but the information must be substantially the same as that provided here.Before using this form,check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority within 14 days from the pumping date in accordance with 310 CMR 15.351. A. Facility Information 1. System Location: 315 Turnpike Street Address North Andover MA 01845 City/Town State Zvi Code 2. System Owner: Casella Organics Name 283 Smith Road Address(if different from location) Chateaugay NY 12920 City/Town State Zip Code 6032905835 Telephone Number B. Pumping Record 1. Date of Pumping 10/21/2023 2. Quantity Pumped: 4100.0000 Date Gallons 3. Component: Cesspool(s) ❑ septic Tank ❑Tight Tank 0 Grease Trap ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes a No If yes, was it cleaned? ❑ Yes ❑ No 5. Observed condition of component pumped: Normal water level. lin bottom sludge. lin top solids. Main line Clear. No filter is present on the tank; current tank is not designed to be used with a filter. Cover(s) secured. No 3rd party paperwork filled. 6. System Pumped By: Kyle Lambert Name Vehicle License Number Wind River Environmental, 46 Lizotte Drive, Suite 1000, Marlborough, MA 01752 Company 7. Location where contents were disposed: Vanguard Renewables - Rutland: 51 Muschopauge Road, Rutland, MA 01543 Kyle Lambert 10/21/2023 Signature of Hauler Date Signature of Receiving Facility(or attach facility receipt) Date t5form4.doc•11/12 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts City/Town Of North Andover NE;��-�N System Pumping Record Form 4 j DEP has provided this form for use by local Boards of Health.Other forms may be used, but the information must be substantially the same as that provided here.Before using this form,check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority within 14 days from the pumping date in accordance with 310 CMR 15.351. A. Facility Information 1. System Location: 315 Turnpike Street Address North Andover MA 01845 Citylrown State Zip Code 2. System Owner: Casella Organics Name 283 Smith Road Address(if different from location) Chateaugay NY 12920 City/Town State Zip Code 6032905835 Telephone Number B. Pumping Record 10/02/2023 3900.0000 1. Date of Pumping 2. Quantity Pumped: --- Date Gallons 3. Component: Cesspool(s) ❑ Septic Tank Tight Tank ❑X Grease Trap Other(describe): 4. Effluent Tee Filter present? ❑ Yes X No If yes, was it cleaned? ❑ Yes nNo 5. Observed condition of component pumped: Normal water level. lin bottom sludge. lin top solids. Main line Not Applicable . No filter is present on the tank; current tank is not designed to be used with a filter. Cover(s) secured. No 3rd party paperwork filled. Scheduled maintenance. 3900 Gallons 6. System Pumped By: Kyle Lambert Name Vehicle License Number Wind River Environmental, 46 Lizotte Drive, Suite 1000, Marlborough, MA 01752 Company 7. Location where contents were disposed: Vanguard Renewables - Located in Haverhill: 1058 Boston Road, Haverhill, MA 10/02/2023 Signature of Hauler Date Signature of Receiving Facility(or attach facility receipt) Date t5form4.doc• 11/12 System Pumping Record•Page 1 of 1 Commonwealth of Massachusetts City/Town Of North Andover System Pumping Record Form 4 DEP has provided this form for use by local Boards of Health.Other forms may be used,but the information must be substantially the same as that provided here.Before using this form,check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority within 14 days from the pumping date in accordance with 310 CMR 15.351. A. Facility Information 1. System Location: 315 Turnpike Street Address North Andover MA 01845 City/Town State Zip Code 2. System Owner: Casella Organics Name 283 Smith Road Address(if different from location) Chateaugay NY 12920 Citylrown State Zip Code 6032905835 Telephone Number B. Pumping Record 1. Date of Pumping 08/29/2023 2. Quantity Pumped: 3500.0000 Date Gallons 3. Component: ❑ Cesspool(s) Septic Tank ❑Tight Tank ❑X Grease Trap ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes 0 No If yes, was it cleaned? ❑Yes No 5. Observed condition of component pumped: High water level. Oin bottom sludge. tin top solids. Main line Clear. No filter is present on the tank; current tank can be outfitted with a filter. Cover(s) secured. No 3rd party paperwork filled. 3500 Gallons 6. System Pumped By: Glenn Perry Name Vehicle License Number Wind River Environmental, 46 Lizotte Drive, Suite 1000, Marlborough, MA 01752 Company 7. Location where contents were disposed: Fort Hill Anaerobic Digester Thompson CT: 157 O'Leary Road, Thompson, CT 06 r 08/29/2023 Signature of Hauler Date Signature of Receiving Facility(or attach facility receipt) Date t5form4.doc•11/12 System Pumping Record•Page 1 of 1