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DATE: `f 2)3
�,M PUMPING RECORD F -
SYSTEM OWNER & ADDRESS
(QU�S��
SYSTEM LOCATION
(example: left front of house)
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RECEIVED
MAY 3 12005
TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
DATE OF PUMPING. 3 QUANTITY PUMPED: G GALLONS
CESSPOOL: NO YES SEPTIC TANK: NO YES
NATURE OF SERVICE: ROUTINE EMERGENCY
OBSERVATIONS:
GOOD CONDITION
HEAVY GREASE
ROOTS
EXCESSIVE SOLIDS
SOLIDS CARRYOVER
FULL TO COVER
BAFFLES IN PLACE
LEACHFIELD RUNBACK
FLOODED
OTHER (EXPLAIN)
SYSTEM PUMPED BY: Bateson Enterprises, Inc.
COMMENTS:
coNTErrrs TRArrsl♦ERREn To: G.L.S.D Lowell Waste