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FORM 4- SYSTEM PUMPING RE
CURRIER
SEPTIC & DRAIN SERVICE
107 FOREST STREET;MIDDLETON,MA 01949
(978)774-2772.,
COMMONWEALTH OF MASSACHUSETTS
_�/� ��y°'✓P� ,MASSACHUSETTS
SYSTEM PUMPING RECORD
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SYSTEM OWNER: SYSTEM LOCATION:
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DATE OF PUMPING: QUANTITY PUMPED: GALLONS
CESSPOOL: NO YES SEPTIC TANK: NO YES �-
SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE
CONTENTS TRANSFERRED TO:_
DATE: INSPECTOR:
FORM 4-SYSTEM PUMPIN CORD 1
CURRIER
I
SEPTIC & DRAIN SERVICE
107 FOREST STREET;MIDDLETON, MA 01949
(978)774-2772
COMMONWEALTH OF MASSACHUSETTS
MASSACHUSETTS
SYSTEM PUMPING RECORD
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SYSTEM OWNER: SYSTEM LOCATION:
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DATE OF PUMPING: QUANTITY PUMPED: / GALLONS
CESSPOOL: NO YES SEPTIC TANK: NO YES .._
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SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE
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CONTENTS TRANSFERRED TO:
DATE: Ax INSPECTOR:
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ORM 4-SYSTEM PUMPIN CORD
SEPTIC & DRAIN SERVICE
107 FOREST STREET;MIDDLETON,MA 01949 1
(978)774-2772 1
COMMONWEALTH OF MASSACHUSETTS
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MASSACHL SETTS
SYSTEMPUM— PINGRECORb
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SYSTEM OWNER: SYSTEM LOCATION:
733 r(jaM p•./T,e s A1,g.,vudl1
DATE OF PUMPING: QUANTITY PUMP D: l G GALLONS
CESSPOOL: NO E YES &EILAC TANK: NO Q ,.YES
SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERN ICE
CONTENTS TRANSFERRED TO:
DATE: � 2 _ /
INSPECT R:
1
FORM 4-SYSTEM P G RECORD
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SEPTIC & DRAIN SERVICE
107 FOREST STREET;MIDDLETON,MA 01,949
(978)774-2772
COMMONWEALTH OF MASSACHUSETTS
MASSACHUSETTS o
SYSTEM PUMPING RECO
SYSTEM OWNER: SYSTEM LOCATION:
12x
DATE OF PUMPING: / QUANTITY PUM ED: , GALLONS
CESSPOOL: NO 0 YES E SEPTIC TANK NO YES, ''
SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SER1710E
CONTENTS TRANSFERRED TO: k
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DATE: / INSPECTOR: .
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FORM 4-SYSTEM PUMPING RECORD
SEPTIC & DRAIN SERVICE
107 FOREST STREET;MIDDLETON,MA 01949
(978) 774-2772
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COW40NWEALTH OF MASSACHUSETTS
_ MASSACHUSETTS
S'YS TEM PUMPING RECORD'
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SYSTEM OWNERS f n - SYSTEM LOCATION:
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DATE OF PUMPING: a 3� QUANTITY PUMPED: l c5C) GALLONS
CESSPOOL: NO YES S TANK. NO YES
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SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE
CONTENTS TRANSFERRED TO:
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DATE: a/3It? INSPECTOR:
107 Forest St. �� �F'ORAI 4- SSt' I PUAIPLr'G RECORD
Middleton,MA 01949 ®Vp
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Date of Pumping,
Quantit)' Pumped.,1 allons
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Cesspool: No LJ yes ❑
Septic Tan}:: No ❑ Yes '
System Pumped by:
Contents transferred to, License #:
Date 77
Inspector
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THE PROFESSIONAL EXPERTS IN THE S pTIC AND DRAIN INDUSTRY•
107 Forest St. ��� FORM 4- SYS`�'1�' .1 P'T�IPIIt co
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Middleton,MA 01549 rD Q�
(508) 774-2772 �11\9
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Commonwealth of Massachusetts
Massachusetts
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stem wner ystem Location
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Date of Pumping: —_ Quantit} Pumped. ____gallons
Cesspool; No Yes ❑ Septic Tank: No ❑ Yes [ '
System Pumped b\-
License #: ..
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Date "C Inspector
• THE PROFESSIONAL EXPERTS IN THE SEPTIC AND DRAIN INDUSTRY „
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107 Forest St. FORM 4 e SYSTEM PUMPING RECOIW
Middleton,MA 01949 o�P
(508) 774-2772 Mhft
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Co onwealth of Massachusetts
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System Pum in,gr Recard
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Date of Pumping: � � �
/ Quantity Pumped,, gallons
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Cesspool: No Yes,,,,*,❑ ;�;�—''`c;?; ,
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License
Contents transferred to:
Date � 1
Inspector _(sC(J'YCC
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107 Forest St. �� FO 14- SYSTEM PUMPING RECORD
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Date of Pumping: 6? 27
Quantity Pumped:�allons
Cesspool: No ❑
Yes Tani;; No ❑ Yes
System Pumped by;
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THE PROFESSIONAL SXPERTS If�1H SI*Pt1G ANp DRAIN INDUSTRY
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FORM 4 a SYSTEM PUMPING RECORD
SEPTIC & DRAIN SERVICE
107 FOREST STREET;MIDDLETON,MA 01949
(978)77472772
COMMONWEALTH OF MASSACHUSETTS
4jjdQtJ0- ,MASSACHUSETTS
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SYSTEM PUMPING RECORD
SYSTEM OWNER: �`� SYSTEM LOCATION: f Q
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DATE OF PUMPING: "1° QUANTITY PUMPED: Cj ' GALLONS
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CESSPOOL: NO 0 YES L. NO YES
SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE
CONTENTS TRANSFERRED TO:
DATE: ��'� INSPECTOR: '9'
FORM 4- SYSTEM PUMPING RECORD
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SEPTIC & DRAIN SERVICE j
107 FOREST STREET;MIDDLETON,MA 01949 1
(978)774-2772
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COMMONWEALTH OF MASSACHUSETTS
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SYSTEM PUMPING.RECORD
SYSTEM OWNER: \�g ;n SYSTEM LOCATION:
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DATE OF PUMPING: '�:'/" � QUANTITY PUMPED: !,d O 0 GALLONS
CESSPOOL: NO F__j YES NO YES
SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE
CONTENTS TRANSFERRED TO:
DATE: �`J°�S-' INSPECTOR: �Q(9 fe
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107 FOREST STRF T; MIUllLETON, NIA 01�-1,9
(978) 714-2772 1
CO! IMONWEAL'I'll OF l IAS'S!1CIIUSLI TS
N1 A-
SYS7Y,"Al PUMPING RECORD
SYSTEM OWNER: SY5"iE1\4 LOCATION.
L ION:
Al
DATE OF'PUNIPTNG QUANTITY PUMPED: / c;� � GALLL ;1
CESSPOOL; NO YES5~Ll'1'1C TANK; NO YES
SYSTEM PUMPED
CONTENTS 'FRANSFEI
DATE: _. ___INSI'ECTOI2:
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107 Forest St. �� FORM 4-SYSTEM ZP -G RECORD
Middleton,MA 01949
(508) 774-2772
1
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Commonwe th of Massachusetts
V - , Massachusetts
System PumninOr Record
stem w er ystem Location
Date of Pumping: Q
Quantity Pumped; allons
Cesspool: Noet::3f/ Yes ❑ Septic Tank: No ❑ yes
SN'stem Pumped by: � � �
Contents transferred to: License #: ..
Date
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p THE PROFESSIONAL EXPERTS IN THE SEPTIC AND DRAIN INDUSTRY •
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FORM 4- SYSTEM PUMPING RECORD
SEPTIC & DRAIN SERVICE
107 FOREST STREET;MIDDLETON,MA 01949 1
(978)774-2772
IJ
COMMONWEALTH OF MASSACHUSETTS
/�, t/k• A a � ,MASSACHUSETTS
SYSTEM PUMPING RECORD
SYSTEM OWNER: SYSTEM LOCATION:
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DATE OF PUMPING: '::�!° QUANTITY PUMPED: 10 O
4 GALLONS
CESSPOOL: NO E:] YES 0 8 W-T4 K: NO 0 YES F7
SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE
CONTENTS TRANSFERRED TO:
DATE: CJ- S^'
INSPECTOR:_��®�
FORM - SYSTI✓iti4PUMPINC
SEPTIC &, Dlti� ll
107 FOREST STREET; MIDDLLTON, 1V4f1 U 1`t-rq
(978) 774-2772 r
CGIVIMONWEYt L'1'1I Ol,'MASSACllUSEflvlS
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S`ITN/1 OWNER: SY ,iE VI LOCA TON:
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DATE OF PUMPING: ;c `-< ' r' `- QUANTITY PUMPED: � c ` ~ GAL L('_.. ;
CESSPOOL: NO ---� YES J L 1' 'lC TANK: NO � YES
SYSTEM PUMPED EV C-'4 'L 4 u a wl ._ 1,C jBC,
CONTENTS 'TRANSFER16II) TO:
DATE: 1NSI'ECTOP`: >-
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107 Forest St. �r� FORM 4-SYSTEM ���� RECORD
Middleton,MA 01949 �Vl J
(508) 774-2772
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System Pumni"Ir Recard
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ystem Location
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Date of Pumping; Q
Quantity Pumped: LQCQallons
Cesspool; Noel:::� rr Yes ❑ Septic Tank: No ❑
Yes
System Pumped by: �
Contents transferred to; License #: ..
Date �
Inspector
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• THE PROFESSIONAL EXPERTS IN THE SEPTIC AND DRAIN INDUSTRY •
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,on, nna 01 9,19 ��ra�� FORM 4 e SYSTEM PUAIPLT,'G RECORD
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►�vste;rrz P'umpzn� Recnrrl'
'stem caner
ystem ocation
Date of Pumping: Z- /
Quantity Pumped: ®O allons
Cesspool: No [ Yes ED Septic Tank: No C] Yes
51'Stetll Pumped by:
Contents transferred to: -� License #: .:
date
Inspector
• THE PROFESSIONAL EXPERTS IN THE SEPTIC AND DRAIN INDUSTRY•
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Corrunonwealth of Massachusetts
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Quantity Pumped; � Gam' allons
Cesspool: No ❑ ❑ �c4��
Yes &etc Tank: No ❑
Yes ly
S's:ern F'urrrped by, ( � caG( c Lk
Content, transferred to: � � License #: ..
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Inspector
THE PROFESSIONAL EXPERTS IN THE SEPTIC AND DRAIN INDUSTRY
NORM 4-SYSTEM P 4-IG RECORD
CURRIER
SEPTIC & DRAIN SERVICE
107 FOREST STREET; MIDDLETON,MA 01949 °
(978) 774-2772
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COMMONWEALTH OF MASSACHUSETTS ,-
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SYSTEM OWNER: SYSTEM LOCI TION:
-73
DATE OF PUMPING. Y PUM PED:
QUANTIT _GALLONS
CESSPOOL: NO F--] YES F--] SEPTIC TANK: NO YES
SYSTEM PUMPED BY: CURRIER SEP'.rlC & DRAIN SER VICE
CONTENTS TRANSFERRED TO:
DATE: INSPEcrOR:
i
107 Forest St. x% FORM 4° SYS A'1 PUN 'G RECORD
Middleton, MA 01949 �Ql
'508) 774-2772
Commonwealth of Massachusetts
-/V'�tibuver�
—, Massachusetts
vste Ding Record
stem Owner ystem Location
733 Tu✓t� p�%c
/U-410)VC
Date of Pumping: Quantity Pumped, 4--gallons
Cesspool: No ❑ Yes ❑ Tank: No ❑ Yes
System Pumped by: CV✓lt 'C'(/�'
License #: ..
Contents transferred to: '�
Inspector
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• THE PROFESSIONAL EXPERTS IN THE SEPTIC AND DRAIN INDUSTRY•
1
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FORM 4-SYSTEM PUMPING RECORD
qXRRIER
SEPTIC & DRAIN SERVICE
107 FOREST STREET; MIDDLETON,MA 01949
(978) 774-2772
I
COMMONWEALTH OF MASSACHUSETTS
MASSACHUSETTS
SYSTEM PUMPING RECORD
1
i
SYSTEM'OWNER: SYSTEM LOCATION:
y,q
d,d
DATE OF PUMPING: �" d7' ! QUANTITY PUMPED: GALLONS
CESSPOOL: NO F;7] YES SEPTIC TANK: NO YES ,E77'f
SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE
CONTENTS TRANSFERRED TO:
DATE: w ' �/ " / INSPECTOR:
FORM 4-SYSTEM PING RECORD
SEPTIC & DRAIN SERVICE
107 FOREST STREET;MIDDLETON,MA 01949
(978)774-2772
S
COMMONWEALTH OF MASSACHUSETTS
_--
�7 � -' �i ,MASSACHUSETTS
SYSTEM PUMPING RECORD
SYSTEM OWNER: SYSTEM LOCATION:
l.�
DATE OF PUMPING: ��' QUANTITY PUMPED: /S U cJ GALLONS
CESSPOOL: NO YES SEPTIC TANK: NO E:] YES
SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE
CONTENTS TRANSFERRED TO:
DATE: -5 ��/ INSPECTOR: -
FORM 4-SYSTEM P G RECORD 1
IJRMER
SEPTIC & DRAIN SERVICE
107 FOREST STREET; MIDDLETON,MA 01949
(978)774-2772
COMMONWE ALTH OF MASSACHUSETTS
MASSACHUSETTS
SYSTEM PUMPING RECORD
SYSTEM OWNER: SYSTEM LOCATION:
SOS?
r
DATE OF PUMPING: • 1c 3� QUANTITY PUMPED: (SOO GALLONS
CESSPOOL: NO YES F7 SEPTIC TANK: NO YES
SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE
CONTENTS TRANSFERRED TO:
DATE: , �, � 9 INSPECTOR: