26 CHANDLER ROAD SYSTEM PUMPING RECORD 4-28-99 FORM 4 - SYSTEM PUMPING RECORD
Commonwealth of Massachusetts D (SAVED
Massachusetts 999
MAY 10 1
System Pumping Record ��—;Y OF SALEM
System Owner System Location /
So
Type: Emergency ❑ Routine
Cesspool: No ❑ Y ❑ Septic Tank: No ❑ Yes
Date of Pumping: Quantity Pumped: � gallons
System Pumped by (Company): Permit 4:
Contents transferred to:
.Contents disposed at:
Date u ' Pumper Signature
Condition of system/other comments:
' ..DEP APPROVED FORK-12/07/95