HomeMy WebLinkAboutSeptic - Septic Pumping Slip - 2324 TURNPIKE STREET 8/30/2025 row/7 Of�Orth
Commonwealth of Massachusettsaver
City/Town0f North Andover
S'EP 2025
System Pumping Record
Form 4
DEP has provided this form for use by local Boards of Health.Other forms may be used,but the inform
substantially the same as that provided here.Before using this form,check with your local Board of Health to delft
lei
they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority withinlft/7t
days from the pumping date in accordance with 310 CMR 15351.
A. Facility Information
1. System Location:
2324 Turn2_��'§_treet ................ -------------------------------...............
Address
North Andover MA 01845
City/Town-- `" ---------------
2. System Owner:
Little Sprouts Early Education & Child Care
............. .........
Name
40 Strawberry Hill Road
Xddre s s--(--ifd--R----e-rent from location) ............................ —-------
Concord MA 01742
...........
City/Town State Zip Cade
7814206943
Telephone Number
B. Pumping Record
08/30/2025 2000.0000
1. Date of Pumping 2. Quantity Pumped:
Date Ions
3. Component: F] Cesspool(s) Septic Tank Tight Tank Grease Trap
Other(describe):
4. Effluent Tee Filter present? F]Yes No If yes, was it cleaned? Yes n 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. 2 inches of
bottom sludge. 3 inches of top solids. System is at proper working level. Both
baffles/tees are intact. Unable to test main line. Recommend using boost next
pumping. Adding treatment between now and then will improve the health of your
6. System Pumped By:
Robert Herrick
----------........... ............. ----------------------
Name Vehicle License Number
Wind River Environmental, 46 Lizotte Drive, Suite 1000, Marlborough, MA 01752
dompa'n-y-
7. Location where contents were disposed:
NENO Yard: 163 Western Ave, Gloucester, MA 01930
---...........................................................-------
Robert Herrick 08/30/2025
-§i6�nat-u-re,—of"Hauler Date
Signature of Facility(orattach—facility receipt)------------- ---Date
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