HomeMy WebLinkAboutMiscellaneous - 114 BERRY STREET 4/30/2018 Berri
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THE PROFESSIONAL EXPERTS
IN THE SEPTIC AND �p1N
DRAIN INDUSTRY r FORM 4- SYSTEM PUMPING RECORD
5
Commonwealth of Massachusetts
Massachusetts
Smem Pumping Record
}stem UAmer System Location
/,C�c � rc
12r 6•�/�f�'
Date of Pumping: �'�'_ �� Quantity Pumped: gallons
Cesspool: No ,® Yes ❑ Septic Tank: No ❑ Yes ,El
SystemPumped by: ........................... .. ................................................... License #: ...................................................................
Contents transferred to:
Date Inspector
I _
WELL DATABASE
ADDRESS: y- /3
1
AGE OF WELL: WELL DRILLER:
WELL PERNET WELL LOCATION:
WELL PER y Tr DATE: — DEPTH OF L.
TYPE OF WELL: a.. DRILLED. b. DUG C. UNKNOWN
TYPE OF WATER BEARING ROCK_ _
WATER ANALYSIS DATE_ HIGH MANGANESE: Y N
K�/
HIGH IRON: Y N Y N