HomeMy WebLinkAboutAshland Farm Grease Trap - Septic Pumping Slip - 700 CHICKERING ROAD 7/20/2026 Commonwealth nfMassachusetts
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North Andover
System Pumping
Record
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DEP has provided this form for use by local Boards of Health.Other forms may be used,but the information must be
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 m the local Board of Health or other approving authority within 14
days from the pumping date in accordance with 31OCMR15.351.
A. Fac~U~*m^ Information
1. System Location:
700 Chickering Road
Address
0ortb Andover M& 01845
City/Town State
2. 8yabarn Owner:
Ashland Farm at North Andover - IG Ashland Farm at North Andover
Name
700 Chickering Road
Address(if different from location)
North Andover MA 0I845
c|4xmwn 8vom Zip Code
9786831300
Telephone Number
B. Pumping Record
07/20/2026 IOO OOOO
1. Date of Pumping Date �. Quantity Pumped: So|��o
3. Component [-1 Cesspool(s) F-1 septic Tank F-1 Tight Tank Grease Trap
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Other(describe):
L_1 ` ''
4. Effluent Tee Filter present? [-lYes No |f yes, was itcleaned? F-1 Yes [-lNo
5. Observed condition of component pumped:
Cover was accessed and properly secured. 3 Bay Sink. 4 iuoueo of grease on tog. u inches of
water. « iocuoo of bottom sludge. rou snm. nn gallons removed. Both baffles/tees are intact.
Gasket is in good condition. Walls/bottom of trap in good condition. System is at proper
working level. Left o bottles of drain master. 000 Lnoo Signed.
6. System Pumped By:
Tammy Marotta
Name Vehicle License Number
Wind River Environmental, 45 Lizotte Drive, Suite 1000 Marlbmzuo b MA 01752
Company
7. Location where contents were disposed:
-Inside Grease - 0EMO Yard: 54 Knox- Trail, Acton, M& 0I720
Tammy Marotta 07/20/2026
Signature wHauler 000e
Signature m Receiving Facility(or attach facility receipt) Date
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