HomeMy WebLinkAboutSeptic Tank - Septic Pumping Slip - 44 EQUESTRIAN DRIVE 7/31/2020 : Commonwealth of Massachusetts 6. � ,
Li
City/Town of
System Pumping Record JUL 312020
Form 4
DEP has provided this form for use-by local Boards of Health. Other forms may'beused,but the
information,must be substantially the same as that provided here. Before using.this form,check with your
local Board of Health to determine the form they use.The System Pumping Record must be submitted to
the local Board of Health or other approving authority.
A. Facility Information
1. System Location: Left/Right front of House, Left/Right rear of house, Left/right side of house, Left
Right side of building, Left/Right front of building, Left/Right rear of building, Under deck
Address
CWrown V State Zip Code
2. System Owner.
Name
Address(if different from location)
GWrown Zip Code
Telephone Number
.B. Pumping Record
1. Date of Pumping gate 2. Quantity Pumped:
Gallons
3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank
❑ Other(describe):
4. Effluent Tee Filter present? ❑ Yes LSO If yes, was it cleaned? ❑ Yes ❑ No
5. Condition of System:
6. System Pumped By:
Neil.Bateson F5821
Name Vehicle License Number
Bateson Enterprises Inc
Company
7. Location here ontente were disposed:
.L S Lowell Waste Water
LY&SA. > --a a
Signitufe cfHaulerU Date
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