HomeMy WebLinkAboutMiscellaneous - 25 Granville LaneFORM 4 - SYSTEM PUMPING RECORD
C RIER
"EPTIC & DRAIN SERVICE
107 FOREST STREET; MIDDLETON, MA 01949
(978) 774-2772
COMMONWEALTH OF MASSACHUSETTS
b- over , MASSACHUSETTS
SYSTEM PUMPING RECORD
SYSTEM OWNER:
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DATE OF PUMPING: `�"� ;7' q�q
SYSTEM LOCATION: -ro i
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QUANTITY PUMPED: J SQO GALLONS
CESSPOOL: NO F-] YES F7 SEPTIC TANK: NO a YES ,®
SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE
CONTENTS TRANSFERRED TO: 64'1S'o
DATE: % - I% INSPECTOR: ��d�
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