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9 CEDAR AVENUE SYSTEM PUMPING RECORD 2-27-08 Commonwealth of Massachusetts Salem, Massachusetts System Pumping Record System Owner & address: John Churchill 9 Cedar Ave. Salem, MA Location of system: Left Side Date of Pumping: February 27, 2008 Type of system: Cesspool Gallons Pumped: 1000 gallons System pumped by: Service Pumping &Drain Co., hie. 5 Hallberg Park North Reading, MA 01864 License #: BHP 2008-0372, BHP 2008-0372 Contents transferred to: Fitchburg Treatment Plant :.Date:_ February 27;2008 " _ _ "I'll, Pumping"-TecFinician:'Y MW This is ]PROPRIETARY and CONFIDENTIAL information that may be used only by the Board of Health for regulatory purposes RECEIVED APR 2 4 2009 CITY OF SALEM BOARD OF HEALTH