Loading...
9 CEDARCREST AVENUE SYSTEM PUMPING RECORDS . . __ R � � / ' -- - - �-���_�__ _�« �-��-. -- � ter - � / / i _. _. __. iX /I 013/05/2013122:36p 97821314869 WINDRIVER PAGE 03/03 Commonwealth of Massachusetts Farm 4—System pumping Record,2625A Massachusetts System Pumping Record System Qwner System location P,=ter xt Nendell Prtitary home a Cedar Crest Aveue 9 Cedar Creat Aveue Salem, fq1, 01970 Salem, 4R, 01970 (9757-744-8446 x (975)-744-5446 x ipetf'iriscjn Type: Emergent kouNne Cesspool: No Yes Septic Tank: No yes Dote of Pumping: /i} -� "J= } Quantity Pumped:�j, ) 6017ans System Pumped By: ! Wind River Environmental,LLC Permit#: Contents Transferred to: Contents Disposed at: W, 5.G __�_ MC7Z2onc ��v.� i c�unkvr� Date: Pumper Sigixiture: ! l "ondition of System/Other Comments f Lpio ��W.�.Y�1.04papa Dep Approved Form-12/07/95 Commonwealth of Massachusetts Form 4-- System Pumping Record Massachusetts System Pumping Record System Owner System Location Peterson Wendell J Primary Home 9 Cedar Crest Aveue 9 Cedar Crest Aveue Salem, MA, 01970 Salem, MA, 01970 (9'78)-744-8446 x (978)-744-8446 x Peterson Type: EmergenRoutine Cesspool: No Yes Septic Tank: No Yes Date of Pumping: to 12G Quantity Pumped: i[>oc7 Gallons System Pumped By: Wind River Environmental,LLC Permit#: Contents Transferred to: Contents Disposed at: Ipswich Water Trea,rne cantlncxAA _ ,. Date: Pumper Signature: Condition of System/Other Comments y J ® Printed onmycledpaper Dep Approved Form-12/07/95 i i I i i i i i i i DEC —3 Mng I f 0207054999 _ oSrnTr2aoo Commonwealth of Massachusetts Form 4--System Pumping Record' Massachusetts System Pumping Record 1/ f System Owner System Location Paterson Wendell Primary Rome 9 Cedar Crest Aveue 9 Cedar Creat Aveue Salem, MA, 01970 Salem, M, 01970 (978)-744-8446 x 1979)-744-8446 x Peterson Type: Emergent Routine Cesspool: No yes Septic Tank: No Yes . Oate of Pumping: 4o6 - lG( Quantity Pumped: (' _Gallons System Pumped ay: Wind River Environmental,LLC Permit#: Contents Transferred to: Contents Disposed at: K Date: Pumper Signature, r C Condition of System/Other Comments S. saj &4. �tq prarM n�o.mn.n r+,.-. Deo Aonrnvvd Fnrm-1511MWOr, ©LII© 3998 'i3AI&INIM 698VTSZGL6 51:62 VT07-,'6'!ZT FORM 4-SYSTEM PUMPING RECORD CURRIER SEPTIC & DRAIN SERVICE 107 FOREST STREET;MIDDLETON, MA 01949 M AY 1 0 199 (978)774-2772 CITY DEPT.. CqMMONWEALTH OF MASSACHUSETTS S�l� MASSACHUSETTS SYSTEM PUMPING REC©RIl SYSTEM OWNER: SYSTEM LOCATION: DATE OF PUMPING: I f rr QUANTITY PUMPED:��GALLONS CESSPOOL: NO E-] YES SEPTIC TANK: NO YES ,SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE CONTENTS TRANSFERRED TO: DATE: INSPECTOR: ._