HomeMy WebLinkAboutSeptic Pumping Slip - Little Sprouts - 10/14/24 - Septic Pumping Slip - 2324 TURNPIKE STREET 10/14/2024 Co0Om[JnVVe[3Hh of Massachusetts
C' DnF 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 uo submitted oothe local Board of Health or other approving authority within 14
days from the pumping date in accordance with 31VCwR15.3S1.
A, Facility Information
1. System Location:
2324 TurnpL
Address
North Andover MA 01845
City/Town State Zip Code
2. System Owner:
Little S t E I :d � a Child C
Name
40 Strawberry Hill Road
Address(if different from location)
Concord MA 01742
City/Town State Zip Code
7814206943
Telephone Number
B. Pumping Record
10/14/2024 2000.0000
1. Date of Pumping Date 2. Quantity Pumped. oanvne
1 Component: F—lOesspoo|(o) Septic Tank Tight TankGrease Trap
[—1 Other(deochbe):
4. Effluent Tee Filter present? [—lYeaNn U yes,was itcleaned? F—|Yes F—lNo
5. Observed condition of component pumped:
Cover was accessed and properly secured. Septic system serviced. Filter not
present. raox cannot be outfitted with filter. 2000 gallons removed. 3 ioouee of
bottom sludge. z inches of toe solids. System is at proper working level. Both
baffles/tees are intact. Main line is clear. Recommend using boost next pumping.
Adding treatment between now and then will improve the health of your system.
S. System Pumped By:
Robert Herrick
Name Vehicle License Number
Wind River Environmental, 46 Lizotte Drive, Suite 1000 Marlborough, Ma 01752
Company
7. Location where contents were disposed:
Greater.-Lawrence--Sanitary District 240 Charles Street North Andover,—MA
Robert Herrick I0/14/2024
Signature oxHauler Date
Signature cx Receiving Facility(or attach facility receipt) Date
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