Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
9-29-01
Form 4 -- System Pumping Record Commonwealth of Alussochusetss : Massachusetts System Pumoino Record System Owner System Ixation (>:=an K�rnwood Country Club Kesneood Country Club 1 Kornv,:d Av+ 1 Kurnwood Ave. Dalen RA B1970-1657 �alen. KA 01970-1653 , 9r3) '<5-'774-0 J9781 745-1210 Type: Emergency Routine Cesspool: hlo Yes Septic tank: w =Yes ©/ Date of Pumping: Quantity Pumped: roallons System Pumped By: wind Rlver Environmental, LLC Permit JF: Contents transferred to: Contents Disposed at: Date: q ?- 01 Pumper Signature: 1 Condition of System/Other Comments l T(a T � � QUI Dep Approved from - 12/07/95 U i 9 2UU1 . uCT HEA p H DEPT .. 1