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278 Pump Report 5-25-18 f//U-Czil,a S� -+ Commonwealth of Massachusetts ,. - r ., City/Town of \4_0440,,,i0"*. . •t rn System .Puftrpin9 Record - Form 4 '`, DEP has provided this fblm for use by load Boards of Health.Other time mey be used,but the Information mut be subten0*the epgne method provided here.Before using thl form,deck with your local Boardof Health to datrmine the hem.they we.TheSyetem Pumping Recgd must be etrbmhted to the toad Board of Health cc otter approving authority wntdn 14 days from the pumping date ' sceardanco with 910 CMR 15.351. • A. Facility Information =r4out1. System Location: - t ' rams on the • om4ter.tae only eytett toy Mines moor- mat .. allose . . C1D'ttUea -W! ap Cods • wit f'riT Q c () . “q Aaangic ass9eem earn) • • me. 7yeibef' B. Pumping Record • _1. `DQats.OfPunplrg \ n� ' \E- ?. CUM/Puroles . 1506 • • 3, 1ype:of-system: P1 Caspaw(s) ❑ CTank ❑ 7IflTwt 0 Gramm Trap ElOther(deeatbe): 1 . . 4. diluent Ta Rim ptssardy ❑ Ye . No •ifyes,'wasR deeded? .❑ Yes ANO/ 5. -CandlIonof SyMem: 'r .5. spm Pimtped By: _ • 7t ie: `SJIL &ok:M'2 .. Volts hods.Number 7: I.pC 0 ;wtlBfe cptffiyjd.vamp deposed: . .. abty�reaftlaMe. .. oats amen ofneWwy Faulk/ pyo eoee4aeo came Eopem Anew Reaped•es oil