136 System Pumping Record 2016 (2) Commonwealth of Massachusetts
Massachusetts
System Pumping Record
11!MORM fl
Form 4--System Pumping Record%
wealth Dept. DCR Western Region
: 1433
field, MA, 01202
339-5504 x
System Location
Conn River Greenway State Park Tight Tank RQ
136 Damon Road
Northampton, MA, 01060
(413)-586-8706 x
DCR
Emergency
No
in9: -3 lc,
Routine
Yes
ad By: Wind River Environmental,LLC
nsferred to:
tl CC,&
Septic Tank: No
Quantity Pumped: $Zoo
YesL
Gallons
Permit#:
nosed at:
-16
System/Other Comments
Pumper Signature:
k JAt^
I/_- A
recycled—r
Dep Approved Form-12/07/95