HomeMy WebLinkAboutGrease Trap - Septic Pumping Slip - 700 CHICKERING ROAD 1/16/2026 Commonwealth of Massachusetts rown Of lbv�A"do'er
City/Town0f North Andover FEB
System Pumping Record 102026
Form 4
DEP has provided this form for use by local Boards of Health.Other forms may be use mation must be
substantially the same as that provided here.Before using this form,check with your local Boar etermine the form
they use.The System Pumping Record must be submitted to the local Board of Health or other approving a /7fiin 14
days from the pumping date in accordance with 310 CMR 15.351.
A. Facility Information
1. System Location:
700 Chickering Road-
Address
North Andover MA 01845
City/Town State Zip Code
2. System Owner:
Ashland Farm at North Andover IG Ashland Farm at North Andover
Name
700 Chickering Road
Address(if different from location)
North Andover MA 01845
Cityrrown State Zip Code
9786831300
Telephone Number
B. Pumping Record
1. Date of Pumping 01/16/2026 2. Quantity Pumped: 100.0000
Date Gallons
3. Component: F] cesspool(s) F] septic Tank n Tight Tank RX Grease Trap
Fj Other(describe):
4. Effluent Tee Filter present? R Yes No If yes, was it cleaned? n Yes [-� No
5. Observed condition of component pumped:
16inches 50gallons
Replace trap heavy rust trap is starting to fall apart due to heavy amounts of rust. 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. Gasket is in bad condition - Recommend replacing
gasket. 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. Replace trap heavy rust trap is
6. System Pumped By:
Robbie Hall
Name Vehicle License Number
Wind River Environmental, 46 Lizotte Drive, Suite 1000, Marlborough, MA 01752
Company
7. Location where contents were disposed:
Inside Grease - NEMO Yard: 54 Knox Trail, Acton, MA 01720
Robbie Hall 01/16/2026
Signature of Hauler Date
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Signature of Receiving Facility(or attach facility receipt) Date
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