HomeMy WebLinkAboutMiscellaneous - 2245 TURNPIKE STREET 4/30/2018 (3)FORM 4 - SYSTEM PUMPING RECORD
Commonwealth of Massachusetts
X, 417AVe-,- , Massachusetts
System Pumping Record
vstem
iU ✓ G�v� GZ— .. c�Ge.�<l Qom.
/)/a a ,
JAN 13 2005
TOWN OF NORTH ANDOVER
Type: Emergency ❑ Routine 0
Cesspool: No ® Yes ❑ Septic Tank: No ❑ Yes
Date of Pumping: Quantity Pumped:�� gallons
System Pumped by (Company): /� L0,1191 -le- j Permit 4:
Contents transferred to:
Contents disposed at:
Datejf� Pumper Signatures
Condition of system/other comments:
DEP APPROVED FORM - 12/07195
I