HomeMy WebLinkAboutLots of Eats Grease Trap - Septic Pumping Slip - 1211 OSGOOD STREET 1/16/2026 'Town of North Andover
Commonwealth of Massachusetts
City/TownOf 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, U,,qeqjQ,,.�rpp,;jment
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:
1211 _0sgood Street
Address
North Andover MA 01845
City/Town Zip Code
2. System Owner:
Apiehak Lots Of Eats IG Lots Of Eats Apiehak
Name
1211 Osgood Street
Addressfif differentfrm location)
North Andover MA 01845
City/Town State Zip Code
2078078343
Telephone Number
B. Pumping Record
1. Date of Pumping 01/16/2026 2. Quantity Pumped: 200.0000
Date Gallons
3. Component: Cesspool(s) F] septic Tank n Tight Tank Q Grease Trap
Other(describe):
4. Effluent Tee Filter present? D Yes RX No If yes, was it cleaned? R Yes n No
5. Observed condition of component pumped:
20inches 100gallons. Left 0 bottles of drain master. System is at proper working level.
Walls/bottom of trap in good condition. Gasket is in good condition. Both baffles/tees are
intact. 100 gallons removed. 6 inches of bottom sludge. 8 inches of water. 6 inches of grease
on top. FOG 60%. Back Room. Dc for preventive maintenance on pipes and floor drains.
Recommend Drain Cleaning. BOH Logs Signed.
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
Signature of Receiving Facility(or attach facility receipt) Date
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