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TOWN OF NOWH ANDOVER
SYSTEM PUMPING RECORD
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(example: left front of house)
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DATE OF PUMPING: (o -4? -0 QUANTITY PUMPED I '50D GALLONS
CESSPOOL: NO —ZYES SEPTIC TANK: NO YES V11""
NATURE OF SERVICE: ROUTINE EMERGENCY
OBSERVATIONS:
GOOD CONDITION
HEAVY GREASE
ROOTS
EXCESSIVE SOLIDS
SOLIDS CARRYOVER
SYSTEM PUMPED BY -
COMMENTS:
CONTENTS TRANSFERRED TO:
FULL TO COVER
BAFFLES IN PLACE
LEACHNIELD RUNBACK
FLOODED
OTHER (EXPLAIN)