HomeMy WebLinkAboutLots of Eats Grease Trap - Septic Pumping Slip - 1211 OSGOOD STREET 7/20/2026 Commonwealth mfMassachusetts
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North Andover
�� Pumping
Record
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Form 4
DEP has provided this form for use by local Boards of Health.Other forms may be used,but the information must bm
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 31OCMR15.351.
A. Facility Information
1. System Location:
1211 Osqood Street
Address
North Andover M& 01845
City/Town State Zip
2. System Owner:
,Api b k Lots Of Eats ZG Lots Of Eats A i b k
Name
1211 Osgood Street
Address(if different from location)
North Andover MA 01845
City/Town State Zip Code
2072454878
Telephone Number
B. Pumping °�����K����
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O7/20/2O26 2OO.0000
1 Date 2 Quantity Pumped:' Date ' � Gallons
3. Component F—] Caespno|(o) [—� septic Tank n Tight Tank F�qGreaseTnap
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4. Effluent Tee FUberpresent? L_JYes ��| No If yes, xvuS it cleaned? L_��|YooL��
_] No
5. Observed condition of component pumped:
Cover was accessed and »zomezlv secured. nitoueu. 4 inches of grease on top. zu inches of
water. * inches of bottom sludge. FOG 00%. 100 gallons removed. Both baffles/tees are intact.
Gasket is in good condition. Walls/bottom of trap in gvnu condition. System is at proper
working level. Left o bottles of drain master. Boa Logs Signed.
6. System Pumped By:
-Tammy Marotta
Name Vehicle License Number
Wind River Environmental, 46 Lizotte Drive, Suite I000 MarIboron h M& 01752
Company
7. Location where contents were disposed:
Inside Grease — 0EM0 Yazd: 54 Knox Trail, Acton, MA 0I720
Tammy Marotta 07/20/2026
Signature o/Hauler Do*a
Signature o/Receiving Facility(or attach facility receipt) Douo
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