HomeMy WebLinkAboutSeptic Pumping Slip - 545 WINTER STREET 2/29/2016 C
city/Town of TOWN OF"NORTH ANDOVER
ommonwealth f Massachusetts �J ;"������
LTH DEPARTMENT
SYstem Pumping ecar I EA
Facility ti
a
System Location:
Address �!1
City PownMato Zip Code
System Owner:
Name.:
A ss(if different from location of pump)
City/Town State
Zip Cock
Telephone Number
eCZC
Date of Pumpin g
Quantity Pumped -C _ gallons
Ty of System '� Septic T Grease'Trap Other
(what)
System Pumped by:
Company: ROOTER-MAN 46 Portland Street Lawrence,NM 01843
Location where contents were di sed:
Signature of hauler
Date '`
� a t .