HomeMy WebLinkAboutSeptic Pumping Slip - 315 SOUTH BRADFORD STREET 1/1/1998 FORM 4-SYSTEM PUMP RECORD
CURRIER
SEPTIC & DRAIN SERVICE
107 FOREST STREET;MIDDLETON,MA 01949
(978) 774-2772
COMMONWEALTH OF MASSACHUSETTS
IV A.AJDU L5-0- ,MASSACHUSET'T'S
SYS,TEMPUMPING RECORD
SYSTEM OWNER: SYSTEM LOCATION:
S
315 S FoJ sl
/1i-/�ti ou
DATE OF PUMPING: /U r/2`C/ QUANTITY PUMPED: ?
/ GALLONS
CESSPOOL: NO YES El SEPTIC TANK.: NO YES
SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE
CONTENTS TRANSFERRED TO:
,DATE: �� �Z_ INSPECTOR
107 Forest St. FORM 4 - SYSIEINI F'UA P'LNTG OI JD
Middleton, MA 01949 �Ql
5013) 774 2772 c000�����,�
Co
or�wealth of Massachusetts
® Massachusetts
Este ecar
ii �'stem vvner
A4ou i
l vi 'b e+ c,. e e vi a v7
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of Pumping:
Quantity Pumped: � allons
Cesspool: No ❑ Yes ❑ ❑
' �-a•n -• Na ❑ Yes
S\'stem Pumped by: `<t r
Contents transferred to: License #: ..
1
Inspector
THE PROFESSIONAL EXPERTS IN THE SEPTIC AND DRAIN INDUSTRY
I
107 Forest St. �� FQ 14 m SYSTEM PUMP T� I��UI2IJ
Middleton,MA 01949 �Qlp'
(508) 774®2772 1\ ����,
Connnonwealth of M assachusetts
., Ma Sachusett
� in gior
ystem
{o stem Location
v
Date of Pumping:
Quantit)' Pumped:/c5
gallons
Cesspool: No Yes Septic Tank: No
Yes
System Pumped by:
Contents'transferred to; License #:
f
Date
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® THE PROFESSIONAL EXPERTS IN THE S PTIC AND VRAIN INDUSTRY