HomeMy WebLinkAboutSeptic Pumping Slip - 35 WOODBERRY LANE 3/14/2016 i
No Andover J&S Development dba
1600 Osgood St Stewart's Septic
Building 20 Suite 2-36 Andover Septic
No. Andover, Ma 01845 58 South Kimball Street RECEIVED
Bradford, MA 01835
HAY 18-?01?
TOWN OF NORTH ANDOVER
Date Name & ddress Gallons Comments HEALTH DEPARTMENT
5-Apr Andriolo 37 Birch Lane 1500 Good
Sullivan 47 Boxford St 750 Good
6-Apr Saplenza 40 Sterling Ave 1500 Heavy bottom
9-Apr Disalvo 400 Winter St 1500 Good
10-Apr Sarano 265 Hay meadow Rd 1500 Xxxsolids
12-Apr Lind 575 Winter S 3s(. 1500 Good
16-Apr Distefano @-Raleigh Tavern Lane 1000 HG
Walsh 58 Paddock Lane / 1500 Good
18-Apr Schrader 35 Woodberry Lane 1000 Good
Ahlhdm 48 Hawkins Lane 1000 Good
19-Apr Barrett 235 Candel Stick Rd 1500 Good
20-Apr Harold 453 Forest St 1500 Good
Duffy 67 Shirwood Dr 1500 Good
Zoll 333 raeligh Tavern Lane 1500 Good
23-Apr Haffeners Car wash 564 Chickering Rd 2000 red tank
25-Apr Valle 58 Evergreen Dr 1000 Good
27-Apr Lucas 39 deer meadow Rd 1500 Good
30-Apr Meaney 745 Foster St 1000 Good
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TOWN OF NORTH. ANDOVER
SYSTEM PUMPING RECORD
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51 5`I'EM OWNER & ADDRESS SYSTEM LOCATION �----- - -
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(example: lc use)
left frun t o._. . ��..
y
DAZE OF PUMPING: ( Aro':2— QUANTITY PUMPED ���GALLON'S
(, 1-'SS1'OOL: NO YES SEPTIC TANK: NO YES
NATURE OF SERVICE: ROUTINE `'" EMERGENCY
0 13SERV., ITl0NS:
GOOD CONDITION c� FULL TO COVER
1-fl:'AVY GREASE BAFFLES IN PLACE
ROOTS LEACHFIELD RUNBACK
EXCESSIVE SOLIDS FLOODED
SOLIDS CARRYOVER OTHER (EXPLAIN)
SS"I'EM PUMPED BY;
c
CO:tiI;NIENTS:
CO:tiTE'N`l'S TRANSFERRED TO:
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TOWN OF NORTH ANDOVER
SYSTEM PUMPING RECORD
DATE: M
p
SYSTEM OWNER& ADDRESS SYSTEM LOCATION
f , (example: left front of house)
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DATE OF PUMPING: �° QUANTITY PUMPED ' ry GALLONS
CESSPOOL: NO µ ' ,.,,,...,
YES SEPTIC TANK: NO YES
NATURE OF SERVICE: ROUTINE r, EMERGENCY
OBSERVATIONS:
GOOD CONDITION ''`",,,,. FULL TO COVER
HEAVY GREASE BAFFLES IN PLACE
ROOTS LEACHFIELD RUNBACK
EXCESSIVE SOLIDS FLOODED
SOLIDS CARRYOVER OTHER (EXPLAIN)
c .. - ..
SYSTEM PUMPED BY:
A r,,
COMMENTS:
CONTENTS TRAN FEY2RED TO.
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IJ 'Stewart's Septic Service Ll Andover Septic U Stratham Hill Septic ❑ Moto-Ram
(978) 372-7471 (978) 475-2593 (603) 772.5548 (978) 452-9022
20 South Mill Street, Bradford, MA 01835
ate of Service
PAY FR®IVI TKISBILL
Customer Name.' . (� j ❑ Reg. Nature of Service
❑ N/C ❑ Reg.Maint.
Service Location: r ❑ Emergency
❑ Day ❑ Night
Phone:
Contact: Septic Tank Pumping and Cleaning
Billing Address: Done the Right Way"
City: Zip: I
:Sp:ec:ia:llnstructions -Q Completed
❑ Incompleted Reason:
Per: _
AM/PM
Services Rendered
Observations Drain Cleaning
Vacuum Pumping `' g
❑ Septic Tank ❑"Good Condition ❑ Main Line
U Drywell Q-L hfi6Id Runback ❑ Toile Bowl
Sink
❑ Leech Pit/Overflow Riding g
U D-Box (liquid level) ❑I Bathtub/Shower
U Pump Chamber ❑ Full to Cover U Vanity
O Grease Trap U Excessive Solids ❑I Floor Drain
❑ Catch Basin Top/Bottom ❑ Vent
U Portable Toilet ❑ Use No Powdered Soap ❑ Sewer Jet
❑ Other O Heavy Grease ❑ Other
Qty: ❑ Roots Footage;
Size: ❑ Suggest Electric
U Under 1000 gallons ❑ 1000 gallons ❑ 1500 gallons Rootering
❑ 2000 gallons ❑ 3000 gallons ❑ 4000 gallons ❑ Van Called
❑ 5000 gallons ❑ Other ❑ Other
Misc,
• Digging Charge — * U Backhoe U Inspection
• Location tt in. ❑ Consultion hrs. U Certification: P/F
❑ Service Call ❑ Estimate Reason:
U Labor ❑ Portable Toilet Rental ❑Pump Repair
❑ Waiting Time ❑ Baffle ❑ Repair
* Digging Charge is Per Driver ❑ Chemical Treatment
Discretion U Other
Description of work
Recommendations Terms of Payment
Parts
Vacuum Pumping Drain Cleaning
Yr. Month Yr. Month Tax
Discount
Terms&Conditions ❑ Cash U Check U Credit
_ Total
1. Not responsible for damage beyond curb line. 3. 1.5%per month will be charged to accounts past due.
2. All complaints shall be reported within 48 hours. 4. The purchaser agrees to pay all cost of collection.
Custorer Signature _ __ Serviceman
i
VNWC Nature of Service
Reg.Maint.
❑ Emergency
ANDOVER SEPTIC PUMPERS Day ❑ Night
ateofS i A FROM THIS ILL
Customer Name:
P.O. Box 4173 B Station
Service Location: bl f Andover, MA 01810
n4'�,
Phone: J � � (508) 475-
2593
Contact: (� Professional Septic & Drain
Billing Address: Locally Owned and Operated
City: zip: Emergency 24 Hr. Svc. —7 Days
Special Instructions Completed
❑ Incomplete Reason:
Per:
AM/PM
Services Rendered
fum Pumping Ob ations Drain Cleaning
eptic Tank Good Condition ❑ Main Line
rywell ❑ Leechfield Runback ❑ Toilet Bowl
eech Pit!Overflow ❑ Riding High ❑ Kitchen Sink
❑ D-Box (liquid level) ❑ Bathtub/Shower
❑ Pump Chamber ❑ Full to Cover ❑ Vanity
❑ Grease Trap ❑ Excessive Solids ❑ Floor Drain
❑ Catch Basin Top/Bottom ❑ Yard Drain
❑ Portable Toilet ❑ Use No Powdered Soap ❑ Vent
❑ :El Heavy Grease
Other C] Sewer Jet
y ❑ Roots
Size: ❑ Suggest Electric ❑ Footage:
❑ Under 1000 gallons 1000 gallons El 1500 gallons Rootering
❑ 2000 gallons El gallons ❑ 4000 gallons ❑ Van Called
G
❑ 5000 gallons ❑ other ❑ Other
Ntisc.
❑Digging Charge }m. .❑Backhoe rs ❑ Inspection
❑ Location ❑ Consultation ❑ Certification_ P/F
❑ Service Call ❑ Estimate Reason:
❑ Labor ❑ Portable Toilet Rental ❑ Pump Repair
❑ Waiting Time ❑ Baffle ❑ Repair
Digging Charge Is Per Driver ❑ Chemical Treatment
Discretion ❑ Other
Description of Work
Recommendations Terms of Payment
Parts
Vacuum Pumping Drain Cleaning NET 15 DAYS
Tax
Yr. Month Yr. Month
Dis
Terms & Conditions ❑ Cash ❑ Check redit
Tots
1. N responsible for damage b'yond k"o, 1 %per month will be charged to accounts past due.
2. A complaints shall be report d . 4. T e pu rchaser agrees to pay aii cost of collection.l t undersigned agree to all rns.