HomeMy WebLinkAboutSeptic Tank - Septic Pumping Slip - 2324 TURNPIKE STREET 3/13/2025 T)I J
C mmonwealth of Massachusetts P � �
Ci y/Town of North Andover
S ,stem Pumping Record AP
Fo rm 4 202
DE has provided this form for use by local Boards of Health.Other forms may be used,but the information must be
sub antially the same as that provided here.Before using this form,check with yourkc at a(?of ealth to determine the form
theyjuse.The System Pumping Record must be submitted to the local Board of Health o((' tar rtp n_ within 14
day from the pumping date in accordance with 310 CMR 15.351. P1( Ment
A.Facility Information
1. ';System Location:
2324 Turnpike Street
Address
North Andover MA 01845
City/Town tote —_ _ dip tu,� eta
2. System Owner:
Little Sprouts Early Education & Child Care
Name
40 Strawberry Hill Road
Address(if different from location)
Concord MA 01742
tity/Town State Zip Code - --
7814206943 _
Telephone Number -------- ------
B.IPumping Record
03/13/2025 2000.0000
1. ;Date of Pumping Date 2. Quantity Pumped: Gallons LLJ
3. ;Component: Cesspool(s) JAISeptic Tank Tight Tank Grease Trap
IF] Other(describe):
4. Effluent Tee Fitter present? ❑Yes 0 No If yes,was it cleaned? Yes No
5. Observed condition of component pumped:
Cover was accessed and properly secured. Septic system serviced. Filter not
present. Tank cannot be outfitted with filter. 2000 gallons removed. 3 inches of
bottom sludge. 2 inches of top solids. System is at proper working level. Both
baffles/tees are intact. Main line is clear. Recommend using boost next pumping.
Adding treatment between now and then will improve the health of your system.
6. ,System Pumped By:
Robert Herrick
Name Vehicle License Number - —
Wind River Environmental, 46 Lizotte Drive, Suite 1000, Marlborough, MA 01752
Company --
7. Location where contents were disposed:
HaverHill Disposal Site: 40 S. Porter Street, Bradford, MA 01835
Robert Herrick _ 03/13_/2025
Signature of Hauler Date
Signature of Receiving Facility(or attach facility receipt) Date
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