HomeMy WebLinkAboutSeptic Tank - Septic Pumping Slip - 115 VEST WAY 10/7/2020 �LN Commonwealth of Massachusetts RECEIVED
�1 W City/Town of No. Andover OCT p7 2020
System Pumping Record
TONN OF NORTH ANpOVER
Form 4 M HEALTH DEPARTMENT
DEP has provided this form for use by local Boards of Health. Other forms may be used, 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 within 14 days from the pumping date in
accordance with 310 CMR 15.351.
A. Facility Information
Important:When
filling out forms 1. System Location:
on the computer, (T Ves� 'ITe V(�
use only the tab
key to move your Address
cursor-do not No. Andover MA 01845
use the return
key. City/Town State Zip Code
�1 2. System Owner:
Name
�n
Address(if different from location)
Citylrown State Zip Code
Telephone Number
B. Pumping Record
1. Date of Pumping Date 2. Quantity Pumped: Gallons
3. Component: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Grease Trap
❑ Other(describe): - -
4. Effluent Tee Filter present? ❑ Yes No If yes, was it cleaned? ❑ Yes ❑ No
5. Observed c dition of component pumped:
�d
6. Systeoi Pumped
Name Vehicle License Number
Stewart's Septic 58 So. Kimball St., Bradford,MA
Company
7. Location where contents were disposed:
20 So. ill St., Brad or I, M
Si6fiature of Hauler Date
Signature of Receiving Facility(or attach facility receipt) Date
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