HomeMy WebLinkAboutSeptic Tank - Septic Pumping Slip - 141 REA STREET 3/26/2025 <�,� Town of Nofth Andover
L,- Commonwealth of Massachusetts
City/Town of North Andover
- 3
System Pumping Record APR 2025
Form 4
DEP has provided this form for use by local Boards of Health.Other forms may be used t the' nZionmust be
e OM
substantially the same as that provided here.Before using this form,check with your lo=94 r OfArm
they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority
hority within 14
days from the pumping date in accordance with 310 CMR 15.351
A. Facility Information
1. System Location:
757 Turnpike Street
Address
North Andover MA 01845
City/Town -7,jp Qgdo
2. System Owner:
C&W Services/Stop
Name
117 Kendrick Street, Suite 250
Address" "-(-i-f"different from location)
Needham Heiqhts MA 02494
.........................
City/Town State Zip Code
2032381235
Telephone Number
B. Pumping Record
03/25/2025 600.0000
1. Date of Pumping 2. Quantity Pumped:
Date Gallons
3. Component: F] cesspool(s) R Septic Tank F-]Tight Tank RX Grease Trap
n Other(describe):
4. Effluent Tee Filter present? R Yes 1/\l No If yes,was it cleaned? F-1 Yes F-] No
5. Observed condition of component pumped:
Deli 1. 4 inches of grease on top. 15 inches of water. 4 inches of bottom sludge.
30 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. Produce. 1 inches of
grease on top. 12 inches of water. 1 inches of bottom sludge. 20 gallons removed.
6. System Pumped By:
Marvin Collado,
Name Vehicle licenseNumber
Wind River Environmental, 46 Lizotte Drive, Suite 1000, Marl.borouqh, MA 01752
............................................
Company
7. Location where contents were disposed:
Water Solutions Group: 35 Mozzone Blvd , Taunton, MA 02780
................ ......................................................
Marvin Collado 03/25/2025
.. ..................... .......... .................................................... ...... ..........................
nature of Hauler Date
'Sig,—nat—ur`e—of-R—ece—iving Facality—(or attach---facility receipt) —Da—te-- —--------------------------------—
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