HomeMy WebLinkAboutSeptic Tank - Septic Pumping Slip - 271 CANDLESTICK ROAD 11/10/2025 row/7 of Mort
1, Commonwealth of Massachusetts City/Town Of North Andover hAndover
NO V 2025
System Pumping Record
Form 4 bg4DEP has provided this form for use by local Boards of Health.Other forms may be used on must be
substantially the same as that provided here.Before using this form,check with your local Board of 4%ine the form
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'o
they use.The System Pumping Record must be submitted to the local Board of Health or other approving 0 P4
days from the pumping date in accordance with 310 CMR 15.351.
A. Facility Information
1. System Location:
271 Candlestick Road
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Address
North Andover MA 01845
City ------------
2. System Owner:
Keith Laezza
Name
271 Candlestick Road
Address
s-4f PdRal ran t from location)
North Andover MA 01845
City/Town State Zip Code
9783975200
Telephone Number
B. Pumping Record
1. Date of Pumping 10/02/2025___ 2. Quantity Pumped: 1000.0000
DateCations
3. Component: M cesspool(s) Q Septic Tank Tight Tank ā¯‘Grease Trap
F-] Other(describe):
4. Effluent Tee Filter present? Fj Yes FXJ 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. 1000 gallons removed. Light sludge
on bottom of tank. Light top solids in tank. 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
6. System Pumped By:
Robert Herrick
l4imw--------------------- '"a ------------ -------------------------------------------------------
Wind River Environmental, 46 Lizotte Drive, Suite 1000, Marlborough,_MA 01752
Company-
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7. Location where contents were disposed:
Greater Lawrence Sanitary District : 240 Charles Street , North Andover, MA
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Robert Herrick 10/0 2/2 0 2 5
--------------- -,-,Date
e
Signature of Mauler
........................ ......
Signature of Receiving Facility(or attach facility receipt) Date
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