HomeMy WebLinkAboutSeptic Pumping Slip - 41 CEDAR LANE 3/22/2016 t -"ny/ i n oy
System Pumping Record
EP has provided this form for use by local Sgards of Health'-.O the
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B. Pumping Record
1. gate of Pumpihg t _ 2, Quantity Pumped:
_ ... l�nlirrns
3. WI"ypu of system; El Cesspools(, -,Septic Tan "fight Tank �_�.� C xrusu'1'rly
COther(describe):
. Effluent Tee Filter present? U Yes El No If yes, was it cleaned" Yes �°;) No
Condition of System:
S. System Pumped Sy;
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Company
y. Location wher contents were disposed;
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nature of Roceiving Facility. Data .. _, .
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<< YPa 9f.system: Cesspool($) Septic Tank Q Tight Tank
Other
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r '' ' Yes, If yes, was It cleaned? ® Yes 1 No
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DATE OF PVMMQ� 7P
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TOWN OF NOJKTH ANDOVE'R
uA 1'F %lr /'��'!� PSI "111 3 RECORD C7K T.1 0 20
/
OWN OF f FJl I H AND
7iY$T7EM0WNER & Ata[7RESS
SYSTEM LC�C AT IO ""'
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DATE OF PLJMPlNo:_.... .:..._. ',..,. ��.. ..__...,._QUAN'TJTY PUMP D, .mm
�'-'S OL: NU YES
,__. ... .. .. ,.� .. 5aptic lank; NU, YEiS,
NA FURE OF SERVICE:
013SERVATIUNS;
QOOD CONDITION FULL 'T'U COV> R
HEAVY OREAS.E HA.FFL88 IN 1`4AC L
ROOTS _
LEACHFIELD RUNBACK
EXCBSSIVE SOLIDS T _ FLOODED
SOLID CARRYOVER ,.,_.OTHER EXPLAIN ,
5yffiwrn Pwnpad by
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C'VN ftN'I'S IXANSFtFRRED lb
TOWN OF NORTH ANDOVER1
SYSTEM PUMPING RECORD
DATE: 10/26/0
SYSTEM OWNER & ADDRESS SYSTEM LOCATION
(example: left front of house)
DHILLON
41 CEDAR LANE
/
7 17/01 est . 1000
DATE OF PUMPING: QUANTITY PUMPED GALLONS
CESSPOOL: NO x YES SEPTIC TANK.: NO YES x
NATURE OF SERVICE: ROUTINE x EMERGENCY
OBSERVATIONS:
GOOD CONDITION x FULL TO COVER
HEAVY GREASE BAFFLES IN PLACE
ROOTS LEACHFIELD RUNBACK
EXCESSIVE SOLIDS FLOODED
SOLIDS CARRYOVER OTHER (EXPLAIN)
SYSTEM PUMPED BY: RAGGS SEPTIC SERVICE INC
COMMENTS:
CONTENTS TRANSFERRED TO: GREATER LAWRENCE SANITARY DISTRICT