HomeMy WebLinkAboutStop & Shop Grease Trap - Septic Pumping Slip - 757 TURNPIKE STREET 1/30/2026 Z Town of Nic.,,Ii Andover
Commonwealth of Massachusetts
VCity/Town0f North Andover FEB 10 2026
System Pumping Record
Form 4
DEP has provided this form for use by local Boards of Health.Other forms may be used rif pt&rm
-.,Oj Joe" r U
al
substantially the same as that provided here.Before using this form,check with your oar "Realt ete M i
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 15.351
A. Facility Information
1. System Location:
757 Turnpike Street
............-.................................
Address
North Andover MA 01845
-&Cy zp Code................................
2. System Owner:
c/o Ahold -St p & Shop - IG - Stop & Shop - #92
.........------- .............................
Name
1385 Hancock Street
................. --------.1.1-------......................-------- ------ ..................
Address(if different from location)
_Quincy MA ............. .0.2169
...........
City/Town State Zip Code
7046338250
Telephone Number
B. Pumping Record
01/30/2026 500.0000
1. Date of Pumping ............. 2. Quantity Pumped: ---
Date Gallons
3. Component: F] cesspool(s) Septic Tank ❑Tight Tank Grease Trap
Other(describe):
4. Effluent Tee Filter present? Ej Yes FXJ No If yes, was it cleaned? F]Yes n No
5. Observed condition of component pumped:
12inches 35gallons
Produce trap needs to be replaced rotted floors and walls cover decant sit flush in ground.
Left 0 bottles of drain master. System is at proper working level. Walls/bottom of trap are
in need of repair. Recommend Trap Repair/Replace. Grease trap needs 2 bolts replaced. Gasket
is in bad condition - Recommend replacing gasket. Both baffle/tees are not intact. Recommend
inlet/outlet repair. 35 gallons removed. I inches of bottom sludge. 10 inches of water. 1
6. System Pumped By:
Robbie Hall
-�am�----------- -------------------..................... "'V'e-hic-1'e""'-License-''-- - "Num-b--e-r...............................................................................................
Wind River Environmental, 46 Lizotte Drive, Suite 1000, Marlborou h, MA 01752
6omvany----- ------------- .............. ...................
7. Location where contents were disposed:
Holbrook WRE Yard: 24 South Street, Holbrook, MA 02343
- ........................................................ .............. ....................... ......................--------------- --------------------------------------------------
Robbie Hall 01/30/2026
.................................... ...........
Signature of Hauler Date
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Signature of Receiving Facility(or attach facility receipt) Date
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