HomeMy WebLinkAboutSeptic Pumping Slip - 224 Summer St - 10/29/24 - Septic Pumping Slip - 224 SUMMER STREET 10/29/2024 Commonwealth nfMassachusetts
C' nnf 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 31OCMR1sas1.
A. Facility Information
1. System Location:
224 Summer Street
Address
North Andover M& 0I845
2. System Owner:
Pam a Chris 8ted
Name
224 Summer Street
North Andover MA OI845
cuy[rm*n Zip Code
6l7343925I
Telephone Number
B. Pump~ng Record
IO/29/2O2� 1500 OVOO
1. OmteofPumpinA
Date 2. {]umnhb/PumP�d� �m|wnn'
3. Component: [—lCesspool(s) Septic Tank F]Tight Tank F—1 Grease Trap
F—1 Other(deooribe):
4. Effluent Tee Filter present? []Yes FX—] No U yes, was bcleaned? [—�YemF—lNo
5. Observed condition of component pumped-
Cover was accessed and properly secured. Septic system serviced. Recommend riser
due to depth of cover. Filter not present. Tank cannot be outfitted with filter.
1500 gallons removed. Light sludge on bottom of tank. Light top solids in tank.
System is at proper working level. Both baffles/tees are iotact, Main line is
clear. Recommend using boost next pumping. Adding treatment between now and then
G. System Pumped By:
Robert Herrick
mame —Vehicle uoemsewvmbnr
------------
Wind Riveri i
Company
7. Location where contents were disposed:
0E0O Yard; 163 Western Ave, Gloucester, MA 01930
Robert Herrick
l0/29/2O24
8Fgnatu^eofMou|e, Date
Bignumwnf Receiving Facility(or attach facility receipt) Date