HomeMy WebLinkAboutSeptic Pumping Slip - 315 Turnpike St - Casella - 11/05/2024 - Septic Pumping Slip - 315 TURNPIKE STREET 11/5/2024 Commonwealth of Massachusetts
City/Town Of 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:
315 Kt_S t r e e t
Address
North Andover M.A. 01845
City/Town
2. System Owner:
Casella Orqanics
—-------------------
Name
283 Smith Road
Address(if different from location)
_qhattapqay NY 12920
City/Town State Zip Code
6032905835
Telephone Number
B. Pumping Record
11/26/2024 4317.0000
1. Date of Pumping Date 2. Quantity Pumped: Gallons
3. Component: F] cesspool(s) Septic Tank Tight Tank Q Grease Trap
E] Other(describe):
4. Effluent Tee Filter present? R Yes Q No If yes, was it cleaned? R Yes R No
5. Observed condition of component pumped:
Cover was accessed and properly secured. Grease Tank system serviced. Unable to
access outlet of tank to check for filter. 3800 gallons removed. 0 inches of
bottom sludge. 0 inches of grease on top. 0 inches of water. System is at proper
working level.. Main line is clear.
6. System Pumped By:
Pierre Polynice
Name— Vehicle License Number
Wind River Environmental, 46 Lizotte Drive, Suite 1000, Marljo�r.�j�
Company
7. Location where contents were disposed:
Vanguard Renewables - Rutland: 51 Muschopauge Road, Rutland, MA 01543
.-................
Pierre Polynice 11/26/2024
........... ——------------
Signature of Hauler
Date
-6FgWat—urW-,R—Receiving'-0-a-c-ii-it-y-(or attachfacility receipt) Date
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