HomeMy WebLinkAboutAshland Farm Grease Trap - Septic Pumping Slip - 700 CHICKERING ROAD 2/24/2026 Commonwealth of Massachusetts Town of W'11 over
City/TownOf North Andover
System Pumping Record MAR 16 2026
Form 4
DEP has provided this form for use by local Boards of Health.Other forms may be
substantially the same as that provided here. Before using this form,check with yod ffrWVd!==M1 I 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:
700 Chickerinq.-Road
Address
North Andover MA 01845
City/Town StAtem
-Z1
2. System Owner:
Ashland Farm at North Andover OG Ashland Farm at North Andover
Name
700 Chickering Road
Address(if different from location)
North Andover MA 01845
City/Town State Zip Code
9786831300
Telephone Number
B. Pumping Record
1. Date of Pumping 0 2/2 4/2 0 2 6 2. Quantity Pumped: 1000.0000
Date Gallons
3. Component: Cesspool(s) ❑ septic Tank F-]Tight Tank Grease Trap
F-1 Other(describe):
4. Effluent Tee Filter present? []Yes Q No If yes, was it cleaned? F]Yes Fj No
5. Observed condition of component pumped:
Cover was accessed and properly secured. Grease Tank system serviced. Filter not present.
Tank cannot be outfitted with filter. 1000 gallons removed. 3 inches of bottom sludge. 2
inches of grease on top. 48 inches of water. FOG 9%. System is at proper working level. Both
baffles/tees are intact. main line is clear.
6. System Pumped By:
Michael Graham
Name Vehicle License Number
Wind River Environmental, 46 Lizotte Drive, Suite 1000, Marlborough, MA 01752
Company
7. Location where contents were disposed:
MEMO Yard:--54 Knox Trail, Acton, MA 01720
Michael Graham 02/24/2026
Signature of Hauler Date
Signature of Receiving Facility(or attach facility receipt) Date
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