HomeMy WebLinkAbout- Septic Pumping Slip - 101 BRUIN HILL ROAD 11/15/2018 FORM 4— SYSTEM PUMPING RECORD
Commonwealth of Massachusetts j
North. Andover, Massachusetts
NO o I
System Pumping Record
System Owner: System Loeation:
Dan Zehner 101 Bruin Hill Road
101 Bruin Hill Road North Andover
North Andover MA, 01845
Date of Pumping: 11/2/2015 Quantity Pumped: 1200 gallons
Cesspool: No M Yes ❑ Septic Tank: No ❑ Yes
System Pumped by: D.F. Clark Inc. License: BHP-2017-0606
Contents transferred to: Ipswich Wastewater Treatment Plant
Date: 11/2/1.8 Inspector:
RECEIVED
HEA
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