HomeMy WebLinkAboutSeptic Pumping Slip - 733 Turnpike - Dunkin - 10/31/24 - Septic Pumping Slip - 733 TURNPIKE STREET 10/31/2024 <L Commonwealth of Massachusetts
City/Town0f 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:
733 Turnpike Street
Address
North Andover MA 01845
Zityffo"wn -7-0-C.Qdo..........
2. System Owner:
Cafua Manag ment Com aay LLC
.....................................
Name
280 Merrimack Street
location)Address(if different from-
Methuen MA 01844
-§-....................................................... --.-.........................
-Ciiy ------—---------- late Zip Code
9786822382 x743
Telephone Number
B. Pumping Record
10/31/2024 100.0000
1. Date of Pumping 2. Quantity Pumped: -
Date Gallons
3. Component: F] Cesspool(s) F] septic Tank R Tight Tank �Grease Trap
Other(describe):
4. Effluent Tee Filter present? F—]Yes No If yes,was it cleaned? R Yes R No
5. Observed condition of component pumped:
Cover was accessed and properly secured. 3 Bay Sink. 2 inches of grease on top. 8
inches of water. 2 inches of bottom sludge. 30 gallons removed. Both baffles/tees
are intact. Gasket is in good condition. walls/bottom of trap in good condition.
System is at proper working level. Left 0 bottles of drain master. None. BOH Logs
Signed.
6. System Pumped By:
Joao Varela
---------------.........--1---------------- .......................................... ------ .............
Name Vehicle License Number
Wind River Environmental, 46 Lizotte Drive, Suite 1000, Marlborough, MA 01752
................
�M-
--
CompanyP—any -,-,
7. Location where contents were disposed:
Water Solutions Group: 35 Mozzone Blvd , Taunton, MA 02780
........................... .......... ...........
10/31/2024
-Sig--natu--r--eof,-Hauler" "- Date- -------------------------
------------------ ............ -----------------
gnature of Receiving Facility(or attach facility receipt) Date
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