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341 Pump Report 2018 c.-/C/1P-170P--:c "Commonwealth of Massa usetts . 1. • City/Town of .11-t Dr.eff?v�of1 • " System Punting Acord. Forma . . DEP hes Provided this form for ilea by loctl Boards of Med .Ott tame may.be used but the • hdanndon must be subtend*the eine m that Provied hers.Before at tlds.bm check with yaw local Bof oard they be submitted to loBoaiid H*cc other euthortty within 14daysstam the pigedam - ' ' accordance with 310 CMR 16.351. • A. Facility Information • .. out t •System Lacdlon: . - ^ 4e ranee computer, nmay Address . . • on ear;do not mourn - e0b •ureturn . .Os n �y keb p. owner: lj( WC0Y11L • n ,MeWnam..t Iwo noevopl • traria' 3. vx mss'- ',nos . TM4'w-Pun°-: • B. Pumping Record .D0(r 7 I d1960 ' . A. Dated.Pumping 'Ea r;, • Quay Pumped . . Gans 3, Type:ofsysem: • pi .Cswwod(s) flepOn CTgnk O ? Tank 0 Tap � ) • 1—camp, aT'*NY 3"h) 3., goi om, . . . describe: . • . 4.. Effluent Tee Filter preeent?�ee.0 No if yea;was It Seeried? ,fl a O'No • . - 5. crndtlon.of System: "TikThe—i- Cu@t`&s-LI-6-pl y,-WPTER wA5 6Ueat_'uWr St(r 2- 5. ped er. . . }1.y�.. Vdm.Cone te.mar CpL � `. SiJ1 woo •. • • 7. L�Locifflonn where Contrite wurposed: .. srsrram atiara. ... • Delao. - . !gran ofReaMig Fal erdmCdo MMnsn PuppkiPRega?•Papa 1 aft