HomeMy WebLinkAboutSams Mobil Mart Weights and Measures Inspection and Invoice - Inspection - 12 MASSACHUSETTS AVENUE 11/13/2024 i
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North Andover Health Department
Community and Economic Development Division
FROM: o North rth Andover DATE: {E
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Health Department Invoice # 11202 -001
120 Main Street Weights and Measures
North Andover, A 01 i t�
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arn's Mobil Mart
12 Mass Ave
North Andover, MA 01845
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DESCRIPTION In Ikj�T�.'}'� AMOUNT
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apa ity Measures—Each Indicator 1 t`':r:v:=:`=`�°�=:v + •'�=:r;� too 2 .00
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TOTAL $270.00
Thank you for your business!
Town of North Andover 120 Main Street North Andover MA 01 978) 688-9540 www.northandoverma.gov/health
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Department Weights and Measures
{CITY 4R 'OWN}
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j SEALING AND ADJUSTMENT RECORD
Fees and adjusting charges authored by Section 5 6.GX. ,Chapter 98 as amended, No,
D sexuag Adjusted Sealed s gal
ad damned Charges
Fee
Over 10,000 lbs,
5,000 to 10k0G0 lbs.
'300D to 5,O00 lbs.
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I' 100 to 1,000lb9,
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Moro than!0 Sb t
10 lk or less
G
Awirdupols (Each)
Metric
{ Apothecary "
k Troy
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k
Vehiclo Tanks
Each Indicator �- •-, r yx
Each 100 Gallons or
Fraction Iltereof
F Liquid
1 Gallon or less
Moro than 1 Callon
Met SV or l ss
Oil, ress�
Inlet more than lh"to 1"
k tnc
Jul ctrnorothan I"
4 elticle T&nk Pump
WWI a Tank Gmvity
Bulk storage
ornpa y Supplies Prover
r
Each stop on pump
Scanners
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Taxi Meters
Odometer—Hubadometer
Fabric Mcasuri.ng
Wire-Rope-Cordage
1 '
Yard Sticks
'apes
bilk Fars(Per `oss)
Dry Measures
Dottlo l eftwu
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Adjusting—Repairs—Special Fee 11i es CHARGES
s This is to certify that I have this day tested,adjusted,sealed or TOTAL
W�
condemned the above;described device in compliance with the 1iJTLL
G.L.Chapter 98 as most reeently amended.
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DATE r *Dcput y Inspector-Scaler ofW et hts and Mopsures
Received Payment
*Cross out title which does not apply'• #Deputy Inspector•Sc-Att of Weights and Mta=cs
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THIS FORM APPROVED BY THE DIRECTOR OF STANDARDS