HomeMy WebLinkAboutSmolak Farms Grease Trap - Septic Pumping Slip - 315 SOUTH BRADFORD STREET 2/4/2026 �« �� �m�^ @����r
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North Andover MAR 16 2026
System Pumping Record
Form 4
oEP has provided this form for use by local Boards of Health.Other forms may be usedKe&jithrrQ6P8KVent
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 310CMR15.351.
A. Facility Information
1. System Location:
315 South Bradford Street
Address
North Andover MA 01845
City/Town State Zip Code
2. System Owner:
3molak Farms - OG - SmmIak Farms
Name
315 5uotb Bradford
Address(if different from location)
North MA 01845
Qtyrrn~n State Zip Code
9785002019
Telephone Number
B. Pumping �"~�����=�
=
02/04/2026 1000.0000
1. OnteofPumpimg Date 2� []uonUtyPumped: goHnne
3. Component: [—� Cesspool(s) [-7 Septic Tank Tight TankF�q Grease Trap
L_| Other(describe):
4. Effluent Tee Filter present? R Yes No h yes, was itcleaned? [—1 Yes F—lNo
O. Observed condition of component pumped:
Cover was aoreaoeu and pcopazzr secured. Pumping for oznou and fill. Unable to test main
line. System is at proper working level. «n inches of water. z inches of grease on ton. z
inches of bottom sludge. roo oo. zonu gallons removed. Filter not present. Tank cannot be
outfitted with filter. Grease Tank system serviced.
6. System Pumped By:
Robert Herrick
Name Vehicle License Number
Wind River Environmental, 46 Lizotte Drive, Suite 1000 MarIboLoo b MA 01752
Company
7. Location where contents were disposed:
NE00 Yard: 163 Western Ave, Gloucester, MA 01930
Robert Herrick 02/84/2026
Signature o[Hauler Date
8ignamnp^f Receiving Facility(or attach facility receipt) Date
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