HomeMy WebLinkAboutDunkin Donuts-Grease Trap - Septic Pumping Slip - 315 TURNPIKE STREET 1/24/2025 0W' C'f'V0rth4nd0Vc-r
Commonwealth of Massachusetts FE8 _ 5 2025
C.0 City/Town Of North Andover
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System Pumping Record He ith
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Form 4 I)O
DEP has provided this form for use by local Boards of Health.Other forms maybe used,but the information must etrl7er)t
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. Facillit Information
I
1. System Location:
315 Turnpike Street
Address
North Andover MA 01845
City/Town State Zip Code
2. System Owner:
Cafua Management Company, LLC
Name
280 Merrimack Street
Address(if different from location)
Methuen MA 01844
City/Town State Zip Code
9786822382 x743
Telephone Number
B. Pumping Record
1. Date of Pumping 01/24/2025 2. Quantity Pumped: 100.0000
Date Gallons
3. Component: Cesspool(s) Septic Tank Tight Tank MY Grease Trap
F] Other(describe):
4. Effluent Tee Filter present? F]Yes FX-] No If yes,was it cleaned? n Yes F-] No
5. Observed condition of component pumped:
Kitchen. 1 inches of grease on top. 14 inches of water. 1 inches of bottom sludge.
50 gallons removed. Both baffles/tees are intact. Gasket is in good condition.
Grease trap needs 1 bolt replaced. Walls/bottom of trap in good condition. System
is at proper working level. Left 0 bottles of drain master. 16inches 50 gallons.
Recommend Plumbing. Trap needs one bolt and middle threaded bar. BOH Logs Signed.
6. System Pumped By:
Robbie Hall I
Name Vehicle License Number
Wind River Environmental, 46 Lizotte Drive, Suite 1000, Marlborough, MA 01752
Company
7. Location where contents were disposed:
Inside Grease - NEMO Yard: 54 Knox Trail, Acton, MA 01720
Robbie Hall 1 01/24/2025
Signature of Hauler Date
Signature of Receiving Facility(or attach facility receipt) Date
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