HomeMy WebLinkAboutSeptic Pumping Slip - 85 BOSTON STREET 12/18/2015 Commonwealth of Massachusetts
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City/Town of
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System Pumping Record
RECEIVED
Facility Information: AR 1 6 2009
System Location: a E H DEPAR rMENT
Address 1
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City/Town State Zip Code
System Owner:
Name:
Adress (if different from location of pump)
City/Town State Zip Code
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Telephone Number
Pumping Record
Date of Pumping
Quantity Pumped � �,�� gallons
Type of System Septic Tank Grease Trap Other (what)
System Pumped by:
Company: ROOTER-MAN 12 East Dracut Rd., Methuen, MA 01844
Location where contents
were disposed: 4"')
Signature of Hauler ,,� °' � �..,.,�` Date
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SYSTEM PUMPING REC®►RD
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1 SYSTEM OWNER ADDRESS
SYSTEM LOCATION
�OI681UPIC: left front of house)
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QUANTITY PUMPED GALLONS
PL:'NO . YES 'SEPTIC TANK: NO YES
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CONDITION
FULL TO COVER
GOOD
`A t HEAVY GREASE BAFFLES IN PLACE
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LEACHFIELD RUNBACK
l EXCESSIVE SOLIDS FLOODED
�'+� SOLIDS CARRYOVER OTHER(EXPLAIN)
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