HomeMy WebLinkAboutSeptic Pumping Slip - 45 BANNAN DRIVE 12/18/2015 Commonwealth of Massachusetts
North Andover, Massachusetts t
Svstem Pumping Record
System Owner & Address:
Gregg Hazard
45 Bannan Drive
North Andover, MA 01845
Location of system: Rear yard
Date of Pumping: January 11, 201
Type of system: Septic Tank
Gallons Pumped: 1000 gallons
System pumped by: 151
Service Pumping & Drain Co., Inc.
S Hallberg Park 1,r,:; ''''� F a � „�
North Reading, Ma ��u
License#: BHP-2013-0098,0100,0765,0096,0097,0099,0101
Contents transferred to: Greater Lawrence Sanitary District
Date: January 11,2013 Pumping Technician: DM
This is PROPRIETARY and CONFIDENTIAL information that may
be used-canly by the Board of Health for regOatory purposes
COJI,,-�Irnonweafth OfMassachusetts
CftyII1-j'r,)Wyn of
ko
Vil'!P' Pe(cord j�J!�
TOWNOF NORTH ANDOVC-R
HEALTH 0
[)P
Store Z D C 0,-d,e
x,'24on of pump)
State Z i'G. Co d t
Telephone NumbeT
F"Urr,oping Record
Quantity Paniped--4LI&-09aflor,
'I)/T,e Of SYS-teni.,_ Sk,,vitk Tank
Grease '.I'i'ap-----___ether (what,i
ry�
P-al-11ped by
12 East Dracut Rd, h4l-ethuen, MA 01844
T
�Nr'tley-c contents wexe disposed:
z
lllgnab-�Fe of Hauler
S
16:12 97860X;,_41 r G
HEALTH
PA 6E 02/02
Co"nrTIOnwealth Of Massachusetts
.� LHEALTH 2006
System P e or d _
� c TitiW..
D P 1185 Provided this forn7 for use by local Boards of Health. The System Pumping Record must
be submitted to the IOCal Board of Health or other approving authority„
X Facility -----
Important:
When trltincg out 'I. Systua)Location:
co me the
cnitt
puto t�r,use _
only the tab koy 4ddr s�t� "
to rriave your --
cUfaor
u5E the return urt5 City/Town �t�tu---- --- — �-(� _—
key, r 2i1>Owe
F.. �System Owner:
NOW _
_.—..—__---
�'fe ant ir�rrt IbC�ti;inl — —_
CS f1 G6 e
w
Puniping Record --- _� _- �.. _-------- --- _
I, Date of Pumping
Dimon. . Quantity pumped: - - 4111-
e7
Type of system: ❑ Cessp,00i(s) Septic Toni
❑ Tight TenK taafl
❑ Other(dCWribe): ----------- --�
4. Efifluent Tee Wilier present? ❑ Yes ❑ No If Yes, wets it clesned?
y ❑ yes ❑ Na
5. Condition of Sys#ern;
6, System Puttaipecl Ey;
—d Uetliale License::tVum— r,""`----- ------ --
CO T, any - ="-���.,�,.�,.., �.,(: � � ,4
7.
7, Locatiot)where contents were disposed:
siann rr r r��wr
h"':1/"WW,"'as$.gu%//dep/waterio pi✓rov DtOe - --_
�lslt�forrrts,htt`t#inspect
tgforrrat.duc UBl03
System Pumping Record•Page 1 of 1
t
J
Commonwealth of Massachusetts
North Andover,Massachusetts
System Pumping Record
System Owner& address: „w..........., ..
Gregg Hazard IZECEIVED
45 Bannan Drive
North Andover,MA D E C J,
Location of system: Rear TOWN O� u��:r �H :40OV E.
Date of Pumping:November 24, 2008
Type of system: Septic
Gallons Pumped: 1000 Gallons
System pumped by:
Service Pumping&Drain Co., Inc.
5 Hallberg Park
North Reading,MA
License#: BHP 2007 0728, 0725, 0727,0722, 0724, 0726
Contents transferred to: Greater Lawrence Sanitary District
Date: November 24, 2008 Pumping Technician: BL
This is PROPRIETARY and CONFIDENTIAL information that may be used only
by the Board of Health for regulatory purposes