HomeMy WebLinkAboutMiscellaneous - Exception (19)CURRIER
SEPTIC & DRAIN SERVICE
107 FOREST STREET; MIDDLETON, MA 01949
(978) 774-2772
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FORM 4 - SYSTEM PUMPING W016
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SYSTEM PUMPING RECORD
SYSTEM OWNER: V a, k' � k x e-
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683 -19s s
SYSTEM LOCATION:
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DATE OF PUMPING: 0 / 7h/ QUANTITY PUMPED:
9
/ S� (-) GALLONS
CESSPOOL: NO 0 YES 0 SEPTIC TANK: NO F—] YES L�
SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE
CONTENTS TRANSFERRED TO:
DATE:' INSPECTOR:-POl