HomeMy WebLinkAboutSeptic Tank - Septic Pumping Slip - 55 EQUESTRIAN DRIVE 7/18/2025 Commonwealth of Massachusetts
City/TownOf North Andover Of
System Pumping Record 0 ve
Form 4 l.
DEP has provided this form for use by local Boards of Health.Other forms may be used,but the inforrnatio4u
r.poc
substantially the same as that provided here.Before using this form,check with your local E)ogrd of Health to de f a A�form
they use.The System Pumping Record must be submitted to the local Board of Health or 44CW/?4ng authority within 14
days from the pumping date in accordance with 310 CMR 15.351.
A. Facility Information
1. System Location:
__55 E q_u e s t r�ian
Address
North Andover MA 01845
City/Town
2. System Owner:
Slattery Inc
Name
55 Equestrian Drive
Address(if different from location)
North Andover MA 01845
City/Town State Zip Code
9782654318
—-------------------------------------------
Telephone Number
B. Pumping Record
07/18/2025 1500.0000
1. Date of Pumping Date 2. Quantity Pumped: Gallons
3. Component: F-1 Cesspool(s) F7'1 Septic Tank Tight Tank Grease Trap
Other(describe):
4. Effluent Tee Filter present? []Yes RX No If yes, was it cleaned? F-]Yes R 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. 4 inches of
bottom sludge. 3 inches of top solids. 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
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:
HaverHill Disposal Site: 40 S. Porter Street, Bradford, MA 01835
Robert Herrick 07/18/2025
Signature of Hauler Date
—Signature of Receiving Facility—(or attach--facility—receipt)— Date
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