HomeMy WebLinkAboutSeptic Pumping Slip - 314 REA STREET 6/10/2016 tr
Commonwealth of Massachusetts
City/Town of
System Pumping Record NORTH ANDOVER
Form 4
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 to
the local Board of Health or other approving authority within 14 days from the pumping date in
accordance with 310 CMR 15.351.
A. Facility Information
Important:
When fining out 1. System Location:
forms on the �,�)Jq(� vq
computer,use J1._l.__ P
only the tab key Address
to move your
cursor-do not -- — — -- - _ —use the return City(Town State Zip Code
key. 2. System Owner:
Name
Address(if different from location)
City[Town State f �^ Zip Code
Telephone Number
B. Pumping Record
1. Date of Pumping Dry ---- 2. Quantity Pumped:
Gallons
3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Grease Trap
❑ Other(describe):
4. Effluent Tee Filter present? ❑ Yes ❑ No If yes, was it cleaned? ❑ Yes ❑ No
5. Condition of System:
OK
6. System Pumped By:
Name Vehicle License Number
Company
7. Location where contents were dis osed-
iT vaff
Lt8
Signa tur e ofF�� � 6�t 4 - Date
signature of Receiving Feilit Date
t5form4.doc•03/06 System Pumping Record-Page i of 1