HomeMy WebLinkAboutGrease Trap - Septic Pumping Slip - 757 TURNPIKE STREET 3/25/2025 Commonwealth of Massachusetts Town of Noh Andover
.0 City/"Town0f North Andover
System Pumping Record APR - 3 2025
Form 4
ion
DEP has provided this form for use by local Boards of Health.Other forms may be used h j4rPmust bte
substantially the same as that provided here.Before using this form,check with your I W Me"irm
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 15351.
A. Facility Information
1. System Location:
757 Turnpike Street
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Address
North Andover MA 01845
City/Town -State--
2. System Owner:
C&W Services/Stop & Shop. .....................................................
. ...ma ........
117 Kendrick Street, Suite 250
-Kd-dri�si(if-different-from—location)
Needham Heiqhts MA 02494
State Zip Code
2032381235
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Telephone Number
B. Pumping Record
03/25/2025 600.0000
1. Date of Pumping 2. Quantity Pumped:
Date Gallons
3. Component: � cesspool(s) R Septic Tank F]Tight Tank o Grease Trap
F] Other(describe):
4. Effluent Tee Filter present? F1 Yes 1^1 No If yes, was it cleaned? R Yes 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 I 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
M�m Vehicle- ehiIe License-—c-'-----'-- Number
b a r—" .....................................
Wind River Environmental, 46 Lizotte Drive, Suite 1000, Marlborough, MA 01752
6�1;an-y. . .. ...........----------------------- ----------------------
7. Location where contents were disposed:
Water Solutions Group: 35 Mozzone Blvd , Taunton, MA 02780
..................
Marvin Collado 03/25/2025
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Signature of Hauler Date
-gi-g-n�tu—r-e--o-f--R--e-c-e-i-v-in--g---F--a-G-ili-t-y(o attach a-ft--h facility t)
-fa—G-—re,-c-ei--p---------
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