HomeMy WebLinkAboutSeptic Pumping Slip - 44 BRUIN HILL ROAD 10/16/2017 not
Corm-nonwoalth of Massachusetts
City/Town of l
+ System Pumping Record NORTH ANDOVER
Form 4
.,•ham;�"
DEP hos ('rr= vi}'t1 Ctti (r_Yrr'rt fc:r r,:x';, by Er r.'al noarda; of PIr,=ralSl7 ('tth�a fr r tar.rrt<'t, Lt u'zt �. Utr' f}ts'
raft}rntal.ion must be 5ubst<itntit-wy thew as that Provided here Before' wing thr;, form, ctiecr, ',u;
Irtcal Board of Health to cdatermine they h_mi they use. the System r='tnn(,ing Rcelmrd MWI be SUJVt t(•.,r�f
the,local Board of 1 lealth or Cather aro{,Yr+VMtn,authority MOW) '14 day, 4 front ¢h�-punt}aol +1'at:> rt
accordartre with 310 CMR 1.a 341
A. Facility Informatiori
Important.
arrYidCn �r;t � C,
ytern
�Jnt i�"r�.I JrEt it1t 7rntia*�Ykr.v _G'rt{;l
U
r�1'r
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ha r tq s`. rf1 Ji
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t �nt
r^1c1r�;ss tr!r�ifiCr r 4rC;ra,� r':, ern
.ilv"Sir.^rn `utah' .i�P
B, Pumping Record
�j
1 pate of Pumping '✓ � �. .� t iteniuv flu-rtr't,"o
Type of systern Ceeptir; T,3rv1, I Tr"hl T:,mlr. _..G r,r.��s8�
Other (des,-4-Abe)
.. Efilupatt J or-r Filter t7r(:..e;r'rl"r "r`w�� ! r,Jr, It ve:`^ ,.a-5 i!
Condition of
j
w vt.ret Purrtpr3
Wn
tl,"7t e t rle r "rtc r he r rCr'r
400111vv vv i I-
r",cxrrtpa by ,
7 L,.')e,dtion where.-cxxiteri:!, were rri l�nd,erf `" 01tor t
. � . Bradford, Ma 0183r., l
Signalure awo'
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'�•?6Rn'n,t elbr�i'r S;,��y ,
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