HomeMy WebLinkAboutStarbucks Grease Trap - Septic Pumping Slip - 419 ANDOVER STREET 1/30/2026 OW , jk"
n oi ofth Andover
Commonwealth of Massachusetts T '
City/Town of North Andover
System, Pumping Record FEB 10 2026
Form 4
DEP has provided this form for use by local Boards of Health.Other forms may be used,but the informs n must b
D
substantially the same as that provided here.Before using this form,check with your local
her approving
they use.The System Pumping Record must be submitted to the local Board of Health or o her approving auRhuorityy muss
14
days from the pumping date in accordance with 310 CMR 15.351.
A. Facility Information
1. System Location:
419 Andover
Address
North Andover MA 01845
City/Town State Zip Code
2. System Owner:
Starbucks - IG - Starbucks 068713
Name
85 Wells Avenue, Suite 110
Address(if different from location)
Newton Center MA 02459
City/Town State Zip Code
4133274959
Telephone Number
B. Pumping Record
1. Date of Pumping 01/30/2026 2. Quantity Pumped: 100.0000
Date Gallons
3. Component: F] Cesspool(s) F] Septic Tank R Tight Tank 0Grease Trap
F-] Other(describe):
4. Effluent Tee Filter present? F-1 Yes r7/1 No If yes, was it cleaned? F-1 Yes Fj No
1^1
5. Observed condition of component pumped:
l6inches 50gallons. Left 0 bottles of drain master. System is at proper working level.
Walls/bottom of trap in good condition. Grease trap needs 1 bolt replaced. Gasket is in good
condition. Both baffles/tees are intact. 50 gallons removed. 4 inches of bottom sludge. 8
inches of water. 4 inches of grease on top. FOG 50%. 3 Bay Sink. Dc to make sure outlet pipes
is not clogged due to how full of solids trap was at time of service. Recommend Drain
Cleaning. BOH Logs Signed.
6. System Pumped By:
Robbie Hall
Name Vehicle License Number
Wind River Environmental, 46 Lizotte Drive, Suite 1000, Marlb�u h,_MA 01752
Company
7. Location where contents were disposed:
Holbrook WRE Yard: 24 South Street, Holbrook, MA 02343
Robbie Hall 01/30/2026
Signature of Hauler Date
Signature of Receiving Facility(or attach facility receipt) Date
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