HomeMy WebLinkAboutSeptic Tank - Septic Pumping Slip - 30 PENNI LANE 12/14/2022 REC<rtVED
Commonwealth of Massachusetts 142022
W City/Town of NORTH ANDOVER � C
System Pumping Record VOWOOFNOETH_t E
Form 4
HEALTH DEPN
' M
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, 30 PENNI LANE
use only the tab
key to move your Address
cursor-do not NORTH ANDOVER MA 01845
use the return City/Town State Zip Code
key.
2. System Owner:
LYNN SMITH
Name
rerun
Address(if different from location)
City/Town State Zip Code
Telephone Number
B. Pumping Record
12/5/22 1500
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 condition of component pumped:
GOOD CONDITION
6. System Pumped By:
JAY CURRIER H79406
Name Vehicle License Number
J'S SEPTIC & DRAIN
Company
7. Location where contents were disposed:
GLSD
12/5/22
Sig r r Date
Signature of Receiving Facility(or attach facility receipt) Date
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