HomeMy WebLinkAboutnew pump - Septic Pumping Slip - 50 SAVILLE STREET 7/31/2023 8/1/23, 12:43 PM Town of North Andover Mail-50 Saville Street-Pump Record
NORTH ANDOVER
Massachusetts Toni Wolfenden <twolfenden@northandoverma.gov>
50 Saville Street - Pump Record
3 messages
Toni Wolfenden <tolfenden@northandoverma.gov> Mon, Jul 31, 2023 at 12:09 PM
To: Todd Bateson <Bei111 @comcast.net>
Hi Todd and Laurie,
We received a pumping record for 50 Saville Street stating that the pump has failed.
I was wondering if it has been replaced or should we send a letter to the homeowner.
Thanks, have a great day.
Toni
Toni K. Wolfenden
Health Department Assistant
978-688-9540
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image001.j pg
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Bei111@comcast.net <Bei111@comcast.net> Tue,Aug 1, 2023 at 12:39 PM
To: Toni Wolfenden <tolfenden@northandoverma.gov>
Hi Toni
A new pump was installed on May 11, 2023.
All set!
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Visit us online at www.northandoverma.gov.
Toni Wolfenden <tolfenden@northandoverma.gov> Tue,Aug 1, 2023 at 12:42 PM
To: Bei111@comcast.net
Thank you.
Have a nice afternoon!
Toni K. Wolfenden
Health Department Assistant
978-688-9540
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[Quoted text hidden]
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8/1/23, 12:43 PM Town of North Andover Mail-50 Saville Street-Pump Record
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Commonwealth of Massachusetts
City/Town of
System Pumping Record NEP�1` �32p23
Form 4 �V
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.
HOUSE: ront back side rear le. right
A. Facility Information BUILDING: fron back side rear right
Important:When DECK: under
filling out forms 1. System Location:
on the computer, z;V
use only the lab
key to move your A7;�Jx.
cursor-do not
use the return City/Town
key. State Zip Co
2. lem Owner:VQ
[�
{ 6'a 9.,aL
Name
reran r
Address(if different from location)
City/Town . Sta
N7 &,— , _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�1&o If yes, was it cleaned? ❑ Yes ❑ No
5. Observed condition of component pum ed:
6. System Pumped By:
Dave Tiney Mass 1AA95E
Name Vehicle License Number
Bateson Enterprises Inc
Company
7. Location where contents were disposed:
GLSD
Signature of H er Date
Signature of Receiving Facility(or attach facility receipt) Date
t5form4.doc• 11/12
System Pumping Record•PaRe 1 of 1