HomeMy WebLinkAboutDunkin Donuts-Grease Trap - Septic Pumping Slip - 1018 OSGOOD STREET 1/24/2025 Town
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Form- �� ' _ FEB _ _~�
DEP has provided this form for use by local Boards vf Health.Other forms may b umm�� ion must be
ovb�anmaoymesame om that pm"idedbem.B�bmusing m|aform,check w|�your|mm P(owalfrial ine the form
they use.The System Pumping Record must uo submitted m the local Board nr Health or other appnning�Da� �
days hnmthe pumping da�ino�o�ancewi�31OCMR15.351. -^"^
A. Facility Information
1. System Location:
1018 Osgood Street
Address
North Andover MA 0I845
Cityrruwn 31ate Zip Code
2. System Owner:
Caf a Management Company, LLC
Name
280 Merrimack Street
Address(if different from location)
Methuen 01844
City/Town State Zip Code
9786822382 o743
Telephone Number
B. Pumping Record
0I/24/2025 100.0000
1. DotoofPumping Date2. Ouan�tyPumped� aancmm
3. Component: ElCesapoo|(e) [—1 Septic Tank [—]Tight Tank f7/1 Grease Trap
F—] Other(desohbe):
4. Effluent Tee Filter present? D Yes �� No |f yes,was kcleaned? 0Yes RNo
5. Observed condition mf component pumped:
3 Bar Sink. 2 ioouea of grease on top. 10 inches of water. o inches of bottom
sludge. 40 gallons removed. Inlet baffle/tee is not intact - outlet baffle/tee is
intact. Recommend inlet repair. Gasket is in good condition. Walls/bottom of trap
in good condition. System is at gcoeez working level. Left o bottles of drain
master. z«iooueo «n gallons. Recommend Plumbing. Inlet tee gray plastic is needed
8. System Pumped By:
Robbie Ball I
Name Vehicle License Number
Wind River Environmental, 46 Lizotte Drive, Suite 1000 Marlborough.-MA 0I752
Company
7. Location where contents were disposed:
Inside Grease - 0EMO Yard: 54 Knox Trail, Acton, MA 01720
Robbie Hall Z 01/24/2025
Signature o[Hauler oavo
Signature m Receiving Facility(or attach facility receipt) Date
mfonn4.unc^11/12 System Pumping Record^Page 1n/1