HomeMy WebLinkAboutSeptic Tank - Septic Pumping Slip - 101 BRUIN HILL ROAD 1/11/2022 FORM 4—SYSTEM PUMPING RECORD
Commonwealth of Massachusetts
North Andover, Massachusetts
System Pumping Record
System Owner: System Location:
Dan Zehner
101 Bruin Hill Road 101 Bruin Hill Road
North Andover, MA 01845 North Andover
Date of Pumping: 11/22/21 Quantity Pumped: 1,500 gallons
Cesspool: No N Yes ❑ Septic Tank: No ❑ Yes
System Pumped by: D.F. Clark, Inc. License: 13HP-2019-41397
Contents transferred to: Ipswich Wastewater Treatment Plant
Date: 11/22/2021 Inspector:
RE00*®
� 1.�ti012
Jp �PNON�R
�oWN oFNo�pPa�ME