95 ORNE ST PS, �i�Ny+ ST/IC4%
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Commonwealth of Massachusetts
Salem, Massachusetts
System Pumping Record
System Owner& Address:
Andrew Lutts
95 Orne St �s
Salem, MA 01970 g0��(�C�
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Location of system. Rear O S•. VJ
Date of Pumping: November 30, 2011 <ry
Type of system: Cesspools
Gallons Pumped: 1000 gallons
System pumped bv:
Service Pumping& Drain Co.,Inc.
5 Hallberg Park
North Reading, MA 01864
License #: BHP-2010-0358
License #: BHP-2010-0357
Contents transferred to: Fitchburg Treatment Plant
`Date: November 30, 2011 ,,.. Pumping Techrncian:, PDr
This is PROPRIETARY and CONFIDENTIAL information that may
be used only by the Board of Health for regulatory purposes
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FORM 4 - SYSTEM PUMPING RECORD
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JAN 9 iy'.jr
Commonwealth of Massachusetts
Salem, Massachusetts GIT1'OF CALEM
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System Pumping Record
System Owner System Location
Andrew Lutts back yard
95 Orne Street
Salem
Date of Pumping: December 27, 1996 Quantity Pumped: 1300 gallons
Cesspool: No F-1 Yes /X/ Septic Tank: No /X/ Yes
System Pumped by: Service Pumping & Drain Co. , Inc. License #
Contents transferred to: Salem Treatment Plant
Date: December 27, 1996 Pumper: S.B.
This is PROPRIETARY and CONFIDENTIAL information which may be used
only by the Board of Health for regulatory purposes.
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