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HomeMy WebLinkAboutSeptic Pumping Slip - 733 TURNPIKE STREET 12/31/2015 (2) FORM 4 -SYSTEM PUM !IN G RECORD µ„ IO% FOREST s,rREET; MIDDL E'rUN, MA 01949 (9 78) 774-2772 l IMONWEALTIIPF MASSACHUSETTS MASSACHUSETTS SMTE'All PUMPING RECORD l SYSTI M OWNER: SYSTEM LOCATION: r r �✓ DATE OF PUMPING: � c� QUANTITY PUMPED: GALLONS CESSPOOL: NO YES SEPTIC TANK.: NO F--] YES SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE COI\1'I,ENTS TRANSFERRED TO: P DA'L'E: �V` 7 r ,�� INSPECTOR: 6 I FORM 4-SYSTEM PUMPING RECORD CURRIER SEPTIC & DR.AIN SERVICE 107 FOREST STREET; MIDDLETON,MA 01949 (978)774-2772 .d COMMONWEAYM OF MASSACHUSETTS MASSACHUSETTS SYSTEM PUMPING RECORD SYSTEM OWNER: SYSTEM LOCATION: DATE OF PUMPING: - - QUANTITY PUMPED: GALLONS i CESSPOOL: NO YES SEPTIC TANK: NO a YES •SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE CONTENTS TRANSFERRED TO: DATE: --/U / INSPECTOR: FORM 4-SYSTEM PUMP CORD CURRIER 1 i SEPTIC & DRAIN SERVICE 107 FOREST STREET;MIDDLETON,MA 01949 (978)774-2772 CO ONWE TH OF MASSACHUSETTS oll MASSACHUSETTS SYSTEM PUMPING.RECORD SYSTEM OWNER: SYSTEM LOCATION: e DATE OF PUMPING: s — `� QUANTITY PUMPED: GALLONS i CESSPOOL: NO YES SEPTIC TANK: NO E:] YES [ I •SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE CONTENTS TRANSFERRED TO: DATE: �" 7 r / INSPECTO . FORM 4-SYSTEM PUMP NC' RECORD SEPTIC & DRAIN SERVICE 107 FOREST STREET; MIDDLETON, MA 01949 (978) 774-2772 COMMONWEALTH OF MASSACHUSETTS 2zalzll--;,a/ , MASSACHUSETTS SYSTEM PUMPING RECORD SYSTEM OWNER: SYSTEM LOCATION: F,,t-f .Sed / c> DATE OF PUMPING: 11/Z-3/ QUANTITY PUMPED: � o� GALLONS CESSPOOL: NO YES F-] SEPTIC TANK: NO 0 YES SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE CONTENTS TRANSFERRED TO: 1,1a:t1911 DATE: INSPECTOR: FORM 4 - SYSTEM PUMPING RECORD CURRIER, SEPTIC & DRAIN SERVICE 107 FOREST STREET; MIDDLETON, MA 01949 (978) 774-2772 COMMONWEALTH OF MASSACHUSETTS MASSACHUSETTS SYSTEM PUMPING RECORD SYSTEM OWNER: SYSTEM LOCATION: ........... DATE OF PUMPING: /'71, _ QUANTITY PUMPED: GALLON,,' f SEPTIC TANK: NO YES CESSPOOL: NO r,'s F-1 SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE CONTENTS TRANSFERRED TO: DATE: INSPECTOR: rho �o d 41 1 'i�/rr FORM 4 w SYSTEM PWI NG RECORD ,i .. j f r,, i',l�ii�i ' r„ „� VMmn'„ r �� 91949 (974),'7/1 7 7 " rp", 9 r „ 4 a COMMONV EALTH OF MASSACHUSETTS ------------- MASSACHUSETTS SYSTEM OWNER: SYSTEM LOCATION: N1 1, WlNr QUANTITY PLTMPEI • GALLONS, rr" ESS► S ! ED ►C %NC? t ' NO '1' tiNKf. 'YES i 7 YSTEM XWEM�yry�1S� CONTENTS TRANSFE�2I�E�!<�' ! t SATE INSPECTOR: . 1 N , r (rr •. � �, r�, '��'� fp( I'G Wr r 7� �'"��l A qI ��� Y? F r a j FORM 4-SYSTEM PUMPING RECORD UURRIE SEPTIC & FAIN SERVICE 107 FOREST STREET; MIDDLETON,MA 01949 (978) 774-2772 COMMONWEALTH OF MASSACHUSETTS MASSACHUSETTS SYSTEM TEM PUMPING RECORD I N SYSTEM OWNER: q ; SYSTEM LOCATION: �rCC, n� DATE OF PUMPING: �" QUANTITY PUMPED: /SAO GALLONS e-cje CESSPOOL: NO YES E::] TANK: NO F--] YES SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE CONTENTS TRANSFERRED TO: DATE: G�_ �� INSPECTOR: ��d�i i SYST.E.'-1 PL"NiPIN'G RECORD 107 Forest St. Middleton, MA 01849 (508) 774-2772 CornrrionN%,ealth of ATassachus' Ots r., . MaSsaChus f Ply :, , 1 1 d ..........�„ )'stem -ner _ 'stem 1,ocallon I Date of Pumping: Quantity Pumped; gall.ons Cesspool: No Yes Septic Tank: ho 1'es SYsiem Pumped by: " Contents transferred to: License #: Date , Inspector i FbAM*4'p SYS To 1 PUMPNG RECORD 107 Forest S1, Middleton,MA 01949 +;503) 774.2772 ��t ���(�, • vmmonwealth of 1`lassachusetts Massachusetts o , System Pumnin ec r'd w ystem wner stem ocat�on ��A/ Date of Pumping; / / ) Quantity Pun1ped gallons Cesspool; No Yes, ❑ Septic Tank; No ❑ Yes S�stem Pumped b\; License #; Contents transferred to; Date Inspector ................ SYSTm. Pb-NIPLNG RECORD 107 Forest St. Middleton,MA 01949 (508) 774-2772 cog Corn�non)'veajth­o'*f Massachusetts IV1�ssachuset�s � i )'Ste Uwner )Stem pCatlOn 1?41 , Date of Pumping:.' ~ � � Quantity Pumped . • , gall,ans Cesspool: 1\o Yes' Septic Tank: 7\'0 El es 8vstem Pumped b\; License fit: 'Contents transferred to: Date Inspector ' i l 'I PiJF ESSIOWAL EXPERTS Iri Ttwc'SEPTIC AtW D'iAIN;NOUSTAY FORM 4 e SYSTEni PUNVII IG RECORD 14 5 t �aFtu.w���w Commonwealth of Massachusetts Massachusetts System Pumping Record ystem (AM r ystem ocation Date of Pumping: ,5. Quantity Pumped:K5zogallons Cesspool: Igo ' Yes El Septic Tani:: No Yes System Pumped by ................. License #: ......,.....••............................... .................. Contents transferred to: Date Inspector 1 viAL EXPERTS .14 U 1A {� FORM a- SYSTEM PUhT-'L"dG REEC � Ofw Commonwealth of Massachusetts Massachusetts System Nmpin g Record .'stem r ---System ocation Date of Pumping: tl 4 YS Quantity Pumped: /1 Gallons Cesspool: Na X Yes ❑ Septic Tank: No ❑ Yes System Pumped by: License #: .................................. Contents transferred to: Date Inspector i TriE EFTIQ Q AND EXPEHTS IN'pUSrRY 0�211T 4 .SY 1 Pmmih(3 M ,. ,� � . . •. ;fir st . COTriri10T��Y salth df Massacl use' tts Nyp , �1V1as ach t I ' P" II yslem ocatton lµt: Dale of Pumping' �/ Via- ' �r 1 , ! ! Quantity Pumped:p gallons I Cesspool; 1\0 ` ,- Yes Septic Tank' No Yes S>Islem Pumped b\: „1,,,,,,Conleni$ transferred to 9: t� .................IMgpgyy,,,,, Cale � Inspector ' I • .. . � �, r' t�nl 1�. f F6XA'1'4•-- SI'Sml PUMPING RECOP-D :'7 Forest St.;w ton, MA 01949 (y� (500) 774-2772 0w "0 "t ' , Commonwealth of Alassachusetts Massachusetts 0 �„vsfem 'umo ecor ' r ystem ��`ner �stem ocaUon, Date of Pumping: • Quantity Pumped', gallons Cesspool: 1�'�(❑ Yes ❑ Septic Tank: No ❑ Yes r� Svstem Pumped bv: License #: Contents transferred to: Date Inspector DRAIN INDUSTRY I<OR I a - SYSTEl11 PUNT-PING RECORD . 5 Commonwealth of Massachusetts -G :z�/ , Massachusetts �System 1'-umnr ecor ystem "mer ystem ocatton x'L� 1 CC ( `yT Date of Pumping: 6uantit}, 2 c , Pumped: gallons Cesspool: No Yes ❑ Septic Tank: No ❑ ye � u System Pumped bv: ..... .. .................................................. License.#' Contents transferred to: Date Inspector THE PROFESSIONAL EXPERTS IN THE SEPTIC AND DRAIN INDUSTRY ® FORM 4® SYSTEM PUNIPING RECORD dda Commonwealth of Massachusetts ass achusetts System Rympinn Record System ti er !System LoMion t �4Z�,4�/,i Date of Pumping: < Quantity Pumped: gallons Cesspool: No Yes ❑ Septic Tank: No ❑ Yes SystemPumped by: ............................ .. ......,.........................................., License.#: .........................,..................,................ Contents transferred to: Date Inspector TKE Pf OFL*61oliAL,EXPErtTS IN THE SEPTIC AND DRAIN INDUSTRY vp y"S' a Corrtsnonwealth of Massachusetts Massachusetts �� stern 1�"�xmpzrtg .�ecarc� . ystem �ner ystem Location �- G�414 Date of pumping; Quantity gallons Q > pum ed; g p Cesspool; 1\1 o Yes ."C] Septic Tank; 1\o ❑ Yes S)'stem Pumped by . ....... ................ ........ License#: Contents transferred to; Date Inspector THE PROFE551ONAL EXPERT* IN THE SEPTIC AND DRAIN INDUSTRY FORM 4- SYSTEM PUnIPING RECORD ', Kati S�R��c� Commonwealth of Massachusetts G Ji, Massachusetts ; LSystern 'lUM ing Rccod )'stem U er System Location VZ6 Date of Pumping: ��1 Quantity Pumped: gallons Cesspool: 1\o Yes .❑ Septic Tank: No ❑ Yes " SystemPumped by: ................... .. ................................................... License.#: .,......,,...............,........,..,.,.,..,.....,..,.............. Contents transferred to: Date Inspector I i J 1 z f 107 Forest St. F qRM 4 m SYSTEM PLINIP NO RECORD V Middleton,NIA"0149 (508)774.277 Commonwealth of Massachusetts Massachusetts a Re" or VANIner ystem Location 7? PAL s Date of Pumping: Quantity Pumped: _--gallons Cesspool; No Yes Septic Tank: No ❑ Yes System Pumped by: e License #: .. Contents transferred to: Date _ 7.,. Inspector F . * THE PRC1FE8$ICtNNAI.EXPERTS IN THE 90PTIC AND taFiAIN INDUSTRY 0 { _ I 107 Forest S1, FORM 4. SYS �1 P❑VING RECORD �.� ,tiddlcton. MA 01949 slw��jF. I i .-Conunonwealth of Massachusetts Massachusetts System Pumying Record ystem MNM System Location r %G ,- 11112, . Date of Pumping: ,/ Quantity Pumped: gallons Cesspool: No F-2 Yes ❑ Septic Tank: No ❑ Yes SystemPumped by: _.:........ .. .................•................................ License #: ..........•.••....................................,.............. Contents transferred to: Date Inspector r 107 Forest St. NA FORA? a - SYSTEM Pni WING RECOIW ;�iiddlelon,MA 01949 Qlp" (50$) 774-2772 Co , onwealth of Massachusetts ., Massachusetts VS$�' ril ltt G cor }'stem ystem Location a r I 1 Date of Pumping: Quantity Pumped: e2�2gallons Cesspool: No Yes ❑ Septic Tank: No ❑ Yes Syst m.Pumped by: Contents transferred to: License #: .. _ Date' Inspector !� p --__- u . I • THE PROFESSIONAL EXPERTS IN THE SEPTIC AND DRAIN INDUSTRY o 1 107 Forest St. �, PQR.N14 m SYSM1 PIAMN'G RECORD „. Middleton,MA 01949 (508) 774.2772 Commonwealth of Massaghusetts , od Massachusetts m FuminRecord }stem %Nmer ystem ocatlon , Date of Pumping: Quantity Pumped': S r allons Cesspool: No Yes El Septic Tank: No ❑ Yes System Pumped by: License #: :. Contents transferred to: Date Inspector 0 THE PROFESSIONAL EXPERTS IN THE SEPTIC AND DRAIN INDUSTRY i 107 Forest St. o FORM 4 a SYS i PLJI IPI]NIG CO .r Middleton,MA 01949 �Q��` r (508) 774.2772 1�C, ` ` 1 F Commonwealth of Massachusetts 1 r G� -, Massachusetts �yst F'umin9 I�ecard ystem %\mer yst.. ovation 6 V F Date of Pumping: Quantity y Pumped: allons Cesspool: No Yes ❑ SeQic Tank: No ❑ Yes System Pumped by: za�au License Contents transferred to: i Date l ' 3 J 7 Inspector _ l , f • THE PROFESSIONAL EXPERTS IN THE SEPTIC AND DRAIN INDUSTRY• j pUNITING 1EC(J 1.07 Forosl Sl. \\� Middleton,MA 01049 (506) 774.2772 Co,7imOil 'calth of Massachus�((s 4 i3l�i� J�b t � ♦ � . � � YI ' r r �I� m?omwu"TM�wwwm �1{(� %� ��# .1 (( N s rr r p e Y s, ,,� I", � ystem � er . . • l r' y5te nn _0C£:UOII . ("f 17 �/Olilee JR L Date of Pumping ; Quantity Pumped' aJians r Cesspool: � � 1�0/ es Septic Tank; )�o Yes S\'siem Pumped b� : -- -- �- L icensc -Contents translerrr d to: Date 011�1 r l : Inspector ' fi r{i ( tly !r k, r