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HomeMy WebLinkAboutMiscellaneous - 120 LACONIA CIRCLE 4/30/2018 (29) toy Forest St. �N FORM 4- Middleton,MA 01949 SYSTEM PUMPING RECORD + ` Ql� (508) 774-2772 Sip gERv CE h�'w Y Commonwealth of Massachusetts N` VtJo Ve{ , Massachusetts System'Pumnin� Aecard , }stem. U«mer Alou Q ( (0OLo VILOUV CA de ystem acatton +N' w A (-'r FS6;1 f dCO C Ft4 f c,iiN�a w +tips ��� a� /6- r�:. Fee 4-.o Date of Pumping: Quantity Pumped:Lmacrallons Cesspool: No ❑ Yes ❑ Septic Tank: No Yes SYstem Pumped by: Contents transferred to: License #: .. Date aI- f r7 fir' Inspector e0 C 2 Jr`ry7 *, i o THE PROFESSIONAL EXPERTS IN THE SEPTIC AND DRAIN INDUSTRY 0 ,^ -