Loading...
5 CEDARCREST ROAD SYSTEM PUMPING RECORDS Commonwealth of Massachusetts Form 4--system Pumping Record Massachusetts System Pumping Record System Owner -� .5ystem Location Ma n, Type: Emergency Routine .w Cesspool: No Yes Septic Tank: No Yes . Date of Pumping: / ,,��� r'� _ Quantity Pumped:[/OC'� Gallons System pumped By: Wind River Environmental,LLC Permit#• Contents Transferred to: Contents Disposed at: S.E.S.D. Dote: Pumper Signature: ---�'6`- - � :ondition of system/Other Comments Dep Approved Farm-12/07/95 f t FORM 4- SYSTEM PUMPING RECORD Commonwealth of Massachusetts Massachusetts JUL 1 0 2000 System Pumping Record CITY OP SALEM ystem weer ystemocatlon HEALTH DEPT. 5, A2� Type: Emergency ❑ Routine L� Cesspool: No ❑ Yes ❑ Septic Tank: No ❑ Yes Date of Pumping:&:� „ �(-_ Quantity Pumped: _ gallons System Pumped by (Company): 'L>`f'dJ,za-�l X1 Permit #: Contents transferred to: Contents disposed at: Date 2 Pumper Signature t^%� Condition of system/other comments: DFP APPROVED FORM-13/07/95 ' FORMA -.SYSTEM PUMPING RECORD ; e Commonwealth of Massachusetts Massachusetts System Pumping Record System Uvmer System Location Type: Emergency [ - Routine Cesspool: No ❑ Y ❑ Septic Tank: No ❑ Yes Lam' Date of Pumping: �� Quantity Pumped: 7J 0 gallons System Pumped by (Company): Permit 9: Contents transferred to: Contents disposed at: Date Pumper Signature Condition of system/other comments: JULTN 2 9 1999 HEAL TY H DEFT . EM DEP MPRO VED FO RN� 12/07195 'f- 4Vj -eit c©/y iP P F)_K P.O o rao MAN FORM 4 - SYSTEM PLI4PING RECORD PEAPOD q M1 O Commonwealth of Massachusetts , LI' Massachusetts MAY 2 7 1';`16 CITY OF s�ALLM HEALTH DEPT. stem Pumping Record System Owner System Location Sul�� Date of Pumping: Quantity Pumped?45 ., . gallons Cesspool: No ❑ Yes ❑ ,�/ Septic Tank: No ❑ Yes ZT System Pumped by:._k�� ` ./ ..—..(.......G<`�............._... License #: .._....... . . . Contents transferred to: Sd� Date (J Inspector �/"