HomeMy WebLinkAboutSeptic Pumping Slip - 19 BEAVER BROOK ROAD 12/23/2015 i
+.......
TOWN OF NO TH ANDOYEk
SYSTEM PU PINO RECOR j)
SYSTEM OWNER ADDRESS
SYSTPM L ATIpN
DATE OF PVMP1NQ; (QUANTITY P
...�.. .�.
L'tSSP44L; NQ YEg
NA rUKE ON SERYICB. Rou'rtNE,. .
WMAYAMNS; ,JUNC `
000DOONDITION PULL. 'R) COYbR TOWN er
cp-
RZAYY
OM 0 158 BAYFLBS IN PI.ACt, ¢gym
sXC89 YVB SOLI KTIP.LD RUNBACK .,....; _._. o ..._ .._......_. .
DBD
-S0LtVCARRYOYhR�...07ciER EXPLAIN
.. . ,QrG
`'UMMItNTS,
GUN I'wrs rKANSP'LKKBO I'O
TOWN OF NORTH AN-DOVER
SYSTEM PUMPING RECORD
DATE:
1S I M OWNER & ADDRESS SYSTEM LOCATION
X&I, (example: left front of house)
DATE OF PUMPING: QUANTITY PUMPED -GALLONS'
NO b/ YES SEPTIC TANK: NO YES
NATURE OF SERVICE: ROUTINE EMERGENCY
f S FR 0 N S:
(,'001) CONDITION NULL TO COVER
HEAVY GREASE BAFFLES IN PLACE
R 0 OTS LEACHFIELD RUNBACK
EXCESSIVE SOLIDS FLOODED
SOLIDS CARRYOVER OT1-IFR (EXPLAIN)
B
C 0.1 I.N I ENTS: