7 CEDARCREST ROAD SYSTEM PUMPING RECORDS 0222018043 (iWM004
Commonwealth of Massachusetts Form 4--System Pumping Record
Massachusetts
System Pumping Record
5yst�m;Ownerr Tony Sys#gm,Locotip9ame
7 CedarcrPst Rd 7 Cedarcrest Rd
Salem, MA, 01970 Salem, MA, 01970
(978)-745-1320 x (976)-745-1320 x
Losolfo Tony
A
Type: Emergent Routine
Cesspool: No Yes Septic Tank: No YesEzt—�
Date of Pumping: ® quantity Pumped: (•OMHO Gallons
System Pumped By: Wind River Environmental,LLL Permit#:
Contents Transferred to:
Contents Disposed at: K
Date: Pumper Signature:
Condition of System/Other Comments
Dep Approved Form-12/07/95
1�---
F T4s=- System Pumping
Commonweelth of Massadwsetss OCT 1 7 2005
Massachusetts
system pumping Record CITY OF SALEM
BOARD OF HEALTH
System Owner System Location
;o�'o' fo Tony Primary Home
7 Csiarcreat Rd 7 Cedarcrest Rd
Sal MA, 01970 Salem, MA, 01970
972) 745-1320 x t M) -745-1320 x
Type: Emergency Routine .�
Cesspool: No rr Yes Septic tank: No Yes EE
Date of pumping: 64- ? .0 Quantity pumped: �6albns
System pumped By: Wind Riw•Environmental, LLC permit#:
Contents transferred to:
Contents Disposed at:
Slc.� Y
Date: pumper Signature:
Condition of System/Other Comments
Dep Approved Form - 12/07/95