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HomeMy WebLinkAboutSeptic Pumping Slip - 878 WINTER STREET 3/2/2016 FORM 4 • SYSTEM/ PUNTM RECORD Commonwealth of Massachusetts /Massachusetts S stem um in .record �yste a weer /ystem ©cattiion Mill I i Type '� emergency ❑ Routine : No E] yes ❑ S(,ptic Tank: No ED Yes Cessp c �I f �7 3�10 _ gallons Dale r. :' Pumping: S W, Quantity Pumped: i BORACZEWS- Perm it S,\,stei:: Pumped by (Company): �_... Cow .ts transferred to: Cont, its disposed at. d`fe Pumper Signature Cony ition of systemJ Cher comments; DEP APPROVED MRSi - 1«/07195 © °..SSE o of ET SYstem Pumping Rej&;rd Muns,on the MM-Ufer foe 1� C> only ifte mb —AAA" C� a va � , SYswm Owner s 13 13' ftmping „ ....„� . i Date d Pumping 07 OCPQ c 2. QUOMY PUMOOM 3, Type of aptam. i5- Tlots Other(describe): . Effluent Too Fuer present? Cl yes P(No ves.was itfa & 5. Condltjon of SySISM. ® Syftam PUrniped r� X f'3 wftntll s a\ a � ri- nm. � ,w••,' _ .wn,.��,..w.w^-mmwwM.,w.m... a.urwnrom'wv MtluRmG�w. w ..., � r DA lF. 1 r SYSTEM OW NfrR & ADDRESS SYSTEM LOCATION aATTr OI~ PInIWTN CESSPOOL: NO,_...... YES,. - .. .. Sapuc Wank: NU, YE;S "A PURE ON SERVICE; RlUU'['tAJi EMHRCIE'NC'1' 013SER V ATIUNS; GOAD CONDI' io N PULI 'TCJ COVER ROOTSHEAVY . G. E BAFFLES IN PLAC:'L. L CHFIELD RUNBACK ... EXCESSIVE SOLIDS FLOODED NSOLID CARRYOVER..... ...._OTHER FFXPLAIN �yat�m f'umpcd by (57L-,. . ,�i'aC` diz rn�r. c.'�>MMt:NTS. I EN I'S I'KANSFt' RUD I-0 4t- wZ T r rv~ TOWN OF NORTH ANDOVER SYSTEM PUMPING RE CORD D A T E: SYSTEM OWNER & ADDRESS SYSTEM LOCATION (example: left front of house) 7CS"? QUANTITYPUMPED GALLONS DATE OF PUMPING:,. CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) SYSTEM PUMPED BY: COMMENTS: CONTENTS TRANSFERRED TO: