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HomeMy WebLinkAboutSeptic Pumping Slip - 456 SALEM STREET 11/7/2017 y�J ornmon"wealth of Massachusetts City/Town of A/0 System Pumping Record k Facifity Informatiori: 111W 0r � M system Location- Address �­,ity/Mowll State Zip Co ie Syst€n, Dwyer.- [)o f) Name: Adress (if different from location of pump) city/Town state .p d x clephoila`: a"vTumnbcr Purnpirig Record c Date oil'f aam}silsc� tuant:ity T'u�x�Ped.._._. , ,Lyle of system. Septic Tank,_..._�.__.Cxrcasc Trap Other .... ._. (what) System Pumped b:`u'-... ._ l'ol--Dany: ROOTER.-MAN 46 Portland street Lawrence, MA 01 sal' °f } , Location where contents were disposed:.. .w w.. siarlaature of Hauler_ ._ -._ _ �.�' Bate RECEIveo ()C`,T 23 ?0 Q Commonwealth of Massachusetts TOWN OF NORTH ANDOVER HEALTH DEPAOTMENT City/Town of �oq+ prrcw" IM System Pumping Record Facility Information: System Location: Sid Address I�IzSL' City/Town State Zip Code System Owner: .0 6 1, opc) Name: Adress (if different from location of pump) City/Town State Zip Code Telephone Number Pumping Record Date of Pumping /I Quantity Pumped gallons Type of System x Septic Tank Grease Trap Other (what) System Pumped by:. ......... bav L —1 &' Company: ROOTER-MAN 46 Portland Street Lawrence, MA 01843 Location where contents were disposed: " Signature of Hauler" - �/-c" Date C. v Commonwealth of Massachusetts City/Town of ° E �'A-n(' J j System Pumping Record Facility Information; _m, System Location: p.. r Address C... 6y/'1'own State - - Zip Code System Owner: Name; Adress (if differentfroth location of pump) City/Town State �--- Zip Code .,)1._ Telephone Number--- Pumping umber ___ - Pumping R71s (i)p gDate of Pum in Quantity Pumped -----,gallons Type of System Septic Tank Grease Tra p Other (what) System Pumped by: ,' " . Company: ROOTER-MAN 12 Bast Dracut Rd., Methuen, MA 01844 I Location where contents„were disposed: Signature of Hauler a ,4 a, TOWN OF NORTH ANDOVER SYSTEM PUMPiNG RECORD . " 2004",Y7 OF NORTH N . 14 f DATE: HEALTH DERAR SYSTEMVW—N t& ADDRESS SYSTEM LOCATION (example: left front of house) . I DATE OF PUMPING: .Z7 0 IQUANTITY PUMPED GALLONS CESSPOOLNO YES SEPTIC TANK: NO YE�>C •, 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: l P D ��>' yi ii _ t . r '/ COMMENTS: CONTENTS TRANSFERRED TO: TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD DATE: 5l w k v_(_- -- 1 SYSTEM OWNER & ADDRESS SYSTEM LOCATION 1—cC- 1 Ao c (example: left front of house) LfS(c 5410 v,.. J" DATE OF PUMPING: 5 © t QUANTITY PUMPED loll-a GALLONS 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 E EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) r SYSTEM PUMPED BY: COMMENTS: CONTENTS TRANSFERRED TO: