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TOWN OF NORTH ANDOVER
SYSTEM PUMPING RECORD
SYSTEIN1 OWNER & ADDRESS
A
SYSTEM LOCATION
(example: left front of house)
DATE OF PUMPING: QUANTITY PUMPED /600 GALLONS
CESSPOOL: NO _1/`YES SEPTIC TANK: NO YES
'MATURE OF SERVICE: ROUTINE _ EMERGENCY
0I3SL=RVATI0NS:
GOOD CONDITION
HEAVY GREASE
ROOTS
EXCESSIVE SOLIDS
SOLIDS CARRYOVER
SYSTEM PUMPED BY:
C'O..NIN1ENTS:
CONTENTS TRANSFERRED TO:
FULL TO COVER
BAFFLES IN PLACE.
LEACI-1FIELD RUNBACK
FLOODED
OTHER (EXPLAIN)