HomeMy WebLinkAboutLots of Eats Grease Trap - Septic Pumping Slip - 1211 OSGOOD STREET 11/10/2025 7,,,,,
Commonwealth of Massachusetts ic)�yp Of 11/017�'
City/*Town0f North Andover Ipuovef
System Pumping Record NoV 10
Form 4 2025
DEP has provided this form for use by local Boards of Health.Other forms may be used,but the inf Lion must be
substantially the same as that provided here.Before using this form,check with your local Board of "line the form
they use.The System Pumping Record must be submitted to the local Board of Health or other approvingau
days from the pumping date in accordance with 310 CMR 15.351.
A. Facility, Information
1. System Location:
1211 Os go a Street
------- .............
Address
North Andover MA 01845
City/Town -Zip-Cod —--------------------
2. System Owner:
3Ejehak Lots Of Eats -------
Name
1211 Osgood Street
. ........... .............. ............................. -----------.............................................. ....................------------------------ ...................... ........... ------
Address(if different from location)
North Andover MA 01845
City/Town State Zip Code
2078078343
Telephone Number
B. Pumping Record
10/22/2025 200.0000
1. Date of Pumping -D..ate ................ 2. Quantity Pumped:
Gallons
3. Component: E] cesspool(s) F] septic Tank n Tight Tank Grease Trap
Other(describe):
...................................................
4. Effluent Tee Filter present? n Yes No If yes, was it cleaned? n Yes n No
5. Observed condition of component pumped:
Back Room. 6 inches of grease on top. 4 inches of water. 6 inches of bottom
sludge. 80 gallons removed. Both baffles/tees are intact. Gasket is in good
condition. Walls/bottom of trap in good condition. System is at proper working
level. Left 0 bottles of drain master. 16inches 50gallons Trap is a stainless
sty,e Trap has a heating element in it the electric plug is located on wall next
6. System Pumped By:
Robbie Hall
............................. ........................ .......................
Name Vehicle License Number
Wind River Environmental, 46 Lizotte Drive, Suite 1000, Marlborou h, MA 01752
..................................... ------- .......
Company
7. Location where contents were disposed:
Water Solutions Group: 35 Mozzone Blvd , Taunton, MA 02780
......................... ........... ............
Robbie Hall 1.0/22/2025
..................
Signature of Hauler Date
............
Signature of Receiving Facility(or attach facility receipt) Date
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