HomeMy WebLinkAboutSeptic Tank - Septic Pumping Slip - 30 OXBOW CIRCLE 1/5/2021 IC-N Commonwealth of Massachusetts
City/Town of North Andover
a System Pumping Record
Form 4 aF\0 9-
DEP has provided this form for use by local Boards of Health. Other forms may be sed, 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,
use only the tab 30 Oxbow Circle _
key to move your Address
cursor-do not North Andover MA _ 01845
use the return City/Town State Zip Code
key.
2. System Owner:
Allison Chamallas
Name
live
Address(if different from location)
City/Town State Zip Code
914-843-6414
Telephone Number
B. Pumping Record
1. Date of Pumping 12/23/2020 2. Quantity Pumped: 1500
Date Gallons
3. Type of system: ❑ 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. Condition of System:
Faulty tank cover dangerous. Good, system operating properly
6. System Pumped By:
Jason Elliott S71437
Name Vehicle License Number
Ivester and Elliott Services LLC-DBA Jason
Elliott Pumping
7. Location where contents were disposed:
GLSD
12/23/2020
Sig ure of Hauler Date
Signature of Receiving Facility Date
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