HomeMy WebLinkAboutSeptic Pumping Slip - 315 Turnpike Commonwealth of Massachusetts ,
City/Town of r , ;
.,• North Andover .., `��„a/e,�
System Pumping Record "
Form 4 A`G i 2 /�
DEP has provided this form for use by local Boards of Health.Other forms may be used,but the informligi�' Ost 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 br bther 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
Cityfrown State Zip Code
6032905835
Telephone Number
B. Pumping Record
1. Date of Pumping 09/26/2024 2. Quantity Pumped: 4365.0000
Date Gallons
3. Component: Cesspool(s) ❑septic Tank Tight Tank ❑X Grease Trap
❑ Other(describe):
4. Effluent Tee Filter present? Yes No If yes,was it cleaned? Yes ❑ No
5. Observed condition of component pumped:
Cover was accessed and properly secured. Grease Tank system serviced. Filter not
present. Tank cannot be outfitted with filter. 4100 gallons removed. 0 inches of
bottom sludge. 0 inches of grease on top. O, inches of water. System is at proper
working level. Recommend increasing pumping frequency. Main line is clear.
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 - Spencer Anerobic Digester: 56 Northwest Road, Spencer
Glenn Perry 09/26/2024
Signature of Hauler Date
Signature of Receiving Facility(or attach facility receipt) Date
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