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System Pumping Recoro page1 -
TOWN OF NORTH ANDOVER
SYSTEM PUMPING RECORD
DATE: -5�
SYSTEM OWNER &ADDRESS SYSTEM LOCATION
(example: left front of house)
DATE OF PUMPING: QUANTITY PUMPED GALLONS
CESSPOOL: NO YES SEPTIC TANK: NO YES f—
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.
COMMENTS:
P-0,49D 0�-
ti
JUL 3 12001
CONTENTS TRANSFERRED
TO:
STEWART' ` s :
s SEPTIC TANK S
47 RAILROAD STREET, BRADFORD, MASS. 01835
Telephone: 372-7471
Date +
Mr.
Street Q
City
SERVICE CHARGE
DIGGING
PUMP TANK
SNAKE LINE
SERVICE CHARGE
Not responsible for grass & driveways.
INVOICE DUE AND
PAYABLE UPON RECEIPT
Drive
Signature
Work done in:satisfactory manner.