HomeMy WebLinkAboutSeptic Pumping Slip - 93 Turnpike Rd - 10/24/24 - Septic Pumping Slip - 93 TURNPIKE STREET 10/24/2024 Commonwealth nfMassachusetts
City/Town' Of". North Andover
System Pumping Record
Form 4
DEp has provided this form for use hy 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 b*submitted to the local Board of Health or other approving authority within 14
days from the pumping date i^accordance with 31OCMR1sas1.
A~ Facility Information
1. System Location:
93 i
Address
North Andover M& 01845
2. System Owner:
Rubicon
Name
125 Half Mile Road Suite 201
Xdd�esi-Cifai rent from
B 07701
C/ty«own State Zip Code
7322753434
Telephone Number
B. Pump~ng Record
I0/24/2024 2 3000.0000
1. D�t�ofPumping Date . Quantity Gallons
3. Component [—lCeuapon|(o) [—1 Septic Tank F—1 Tight Tank F�q Grease Trap
| | Other(deour|be):
4� �u���eH�rp��� �Y� � No |f�s.�mitd�n�7 n�sF� 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. 3000 gallons removed. 2 inches of
bottom sludge. 3 inches of grease on top. 44 inches of water. System is at proper
working level. Both baffles/tees are intact. Main line in clear. E.
G. System Pumped By:
Michael Graham
Nome vvxidoLinenonw"mhe.
-------
Wind River Environmental, 46 Lizotte Drive, Suite IOUD Marlborough, MA 0I752
Company
7. Location where contents were disposed:
8a e BiIl Disposal 8i� 40 S. Porter Street, Bradford, MA 01835
Michael Graham I8/24/2024
Si0nomn*ofHuu|er Date
Gignam^eo/Receiving Facility(or attach iaci|nynaceipV Date
t5bmn4.u^o~11/12 System Pumping Record^Page 1 of