HomeMy WebLinkAboutGrease Trap - Septic Pumping Slip - 757 TURNPIKE STREET 3/20/2025 �L\ Commonwealth of Massachusetts Town of North Andover
City/Town0f North Andover APR r 2025
System Pumping Record
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Form 4
DEP has provided this form for use by local Boards of Health.Other forms may be used u t b
substantially the same as that provided here.Before using this form,check with your lo�aftoaft=W 00,*
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:
_7_5_7 Turnpike Street
Address
North Andover MA 01845
City/Town Z
2. System Owner:
C&W Service..s/Stop & S42........
Name
117 Kendrick Street, Suite 250
_Address 7(i_fc different from location)
Needham Heights MA 02494
Cityrrown State Zip Code
2032381235
Telephone Number
B. Pumping Record
03/20/2025 4000.0000
1. Date of Pumping 2. Quantity Pumped:
3. Component: ❑ Cesspool(s) n Septic Tank F]Tight Tank FX]Grease Trap
F] Other(describe):
4. Effluent Tee Filter present? D YesFX-] No If yes, was it cleaned? F-1 Yes [_] No
5. Observed condition of component pumped:
Cover was accessed and properly secured. Grease Tank system serviced. Filter not
present. Tank cannot be outfitted with filter. 8000 gallons removed. I inches of
bottom sludge. 1 inches of grease on top. 30 inches of water. System is at proper
working level. Both baffles/tees are intact. Main line is clear.
6. System Pumped By:
Corey Santos
Name Vehicle License Number
Wind River Environmental, 46 Lizotte Drive, Suite 1000, Marlborough, MA 01752
. .................._-F
Company
7. Location where contents were disposed:
Water Solutions Group: 35 Mozzone Blvd , Taunton, MA 02780
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Corey Santos 03/20/2025
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Signature of Hauler Date
-Signature of Receiving Facility(or attach facility receipt) Date
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