HomeMy WebLinkAboutSeptic Tank - Septic Pumping Slip - 246 CANDLESTICK ROAD 4/17/2025 Commonwealth of Massachusetts
w� City/Town of North Andover
s
System Pumping Record
Form 4
M� 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:
246 Candlestick Road
Address
North Andover MA 01845
City/Town State Zip Code
2. System Owner:
Todd Storch
Name
246 Candlestick Road
Address(if different from location)
North Andover MA 01845
City/Town State Zip Code
9785609347
Telephone Number
B. Pumping Record
1. Date of Pumping 04/17/2025 2. Quantity Pumped: 1500.0000
Date Gallons
3. Component: ❑ Cesspool(s) ❑X Septic Tank Tight Tank ❑ Grease Trap
❑ Other(describe):
4. Effluent Tee Filter present? ❑ Yes ❑X No If yes, was it cleaned? ❑ Yes ❑ No
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. Moderate sludge on bottom of tank. Heavy amount of top
solids in tank. System is at proper working level. Unable to test main line.
Recommend using boost next pumping. Adding treatment between now and then will
6. System Pumped By:
Jonathon Colson
Name Vehicle License Number
Wind River Environmental, 46 Lizotte Drive, Suite 1000, Marlborough, MA 01752
Company
7. Location where contents were disposed:
Greater Lawrence Sanitary District : 240 Charles Street , North Andover, MA
Jonathon Colson 04/17/2025
Signature of Hauler Date
Signature of Receiving Facility(or attach facility receipt) Date
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