HomeMy WebLinkAboutMiscellaneous - Exception (618)Commonwealth of Massachusetts
North Andover, Massachusetts
System Pumpinz Record
System Owner & Address:
Tony Didio
549 Winter Street
North Andover, MA 01845
Location of system: Front yard
Date of Pumping: September 15, 2012
Type of system: Septic Tank
Gallons Pumped: 1500 gallons
System pumped by:
Service Pumping & Drain Co., Inc.
S Hallberg Park
North Reading, Ma
License #: BHP -2011-0413,0412,0411,0410,0409,0408
Contents transferred to: Greater Lawrence Sanitary District
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Date: September 15, 2012 Pumping Technician: PD
This is PROPRIETARY and CONFIDENTIAL information that may
be used only by the Board of Health for regulatory purposes
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DEP has provided this form for use by local Boards of Health. T 9 a VOtWW must
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be submitted to the local Board of Health or other approving auimLTH DEP ATMENT
A.'Facility Information
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2. System OWnOr
StateZip Code
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Telephone Number
B. Pumping Record
1. Date of Pumping 2. Quantity Pumped: Gallons
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31Type Of $Y$t$M cesspools) XSeptic Tank E] Tight Tank
❑ other (describe):
4. Effluent Too Filter present? ❑ Yes El No If yes, was it cleaned? ❑ Yes 0 No
5. Condition of System: 0
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System Pumping Record - Page I of I