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136 Damon Road Pump Report Commonwealth of Massachusetts Massachusetts System Pumping Record Form 4--System Pumping Record114 nonwealth Dept. DCR Western Region Box 1433 -. tstield, HA, 01202 3)-339-5504 x System location Conn River Greenway State Park Tight Tank 136 Damon Road Northampton, Wt, 01060 (413)-586-8706 x DCR E No analog: /'�// ! umyed By: Transferred to: Routine Yes River Environmental,LLC Disposed at: C : Septic Tank: Quantity Pumped: Yes 00 Gallons Permit#: USG _7100_____ '3 Pumper Signature: of System/Other Commrhts ... Dep Approved Form-12/07/95