HomeMy WebLinkAboutSeptic Tank - Septic Pumping Slip - 1468 SALEM STREET 4/15/2026 Commonwealth of Massachusetts
City/Town0f North Andover
System Pumping Record
Form 4
DEP has provided this form for use by local Boards of Health.Other forms may be used,but the information must be
substantially the same as that provided here.Before using this form,check with your local Board of Health to determine the form
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:
1468 Salem Street
Address
North Andover MA 01845
City/Town
2. System Owner:
Steven And Naomi Najarian - Primary Home
-kwr;;", .......................
1468 Salem Street
................................... ....................
Address(if different from location)
North Andover MA ..................... 01845 ...
State Zip Code
9783147874
Telephone Number
B. Pumping Record
04/15/2026 1500.0000
1. Date of Pumping 2Date . Quantity Pumped: 76aiio—ns
3. Component: Cesspool(s) FX] septic Tank n Tight Tank n Grease Trap
Other(describe):
..............
4. Effluent Tee Filter present? n Yes Z No If yes, was it cleaned? F]Yes F] 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. 1500 gallons removed. Light sludge on bottom of tank.
Moderate amount of top solids in tank. 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 system. Please visit
www.bookmyseptic.coiTt to purchase online.
6. System Pumped By:
Robert Herrick
............................. .................. ............................ --------------
Name Vehicle License Number
Wind River Environmental, 46 Lizotte Drive, Suite 1000, Marlborough, MA 01752
Company .......... .............
7. Location where contents were disposed:
NENO Yard: 163 Western Ave, Gloucester, MA 01930
.............. ...........
Robert Herrick 04/15/2026
Signature of Hauler Date nure
16 "-"-------------------------------
Signature of---Receiving F
acility(or attach facility receipt) Date
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