HomeMy WebLinkAboutSeptic Tank - Septic Pumping Slip - 49 ORCHARD HILL ROAD 12/21/2023 IC N_ Commonwealth of Massachusetts
T City/Town of
a ° System Pumping Record
a
Form 4
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: f back side rear left right
A. Facility Information BUILDING: front back side rear left right
Important:When DECK: under
filling out forms 1. System Location: N�
on the computer, C \
use only the tab �� 1 O<"'C h� r-
key to move your Address
cursor-do not N _NO�ovtr,— MA Q /�
use the return key. City/Town State Zip Code
2. System Owner:
r� �C,1 O t_,�\'ej
Name
nnm
Address(if different from location).
MA
City/Town State Zip Code
7 qc-(-Corn-33 C,
Telephone Number
B. Pumping Record
1. Date of Pumping 12'I tt IL3 2. Quantity Pumped: y�G
Date 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`
Udrn,, .
6. System Pumped By:
Dave Tiney Mass F5821 Mass 1AA95E
Name Vehicle License umber
Bateson Enterprises, Inc.
Company
7. L ion where contents were disposed:
GLSD
Signature of Hauler Date
Signature of Receiving Facility(or attach facility receipt) Date
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