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9 CEDARCREST ROAD - SEPTIC O2070549:9 t0i2sl2004 Commonwealth of Massachusetts Form 4--System Pumping Record` Massachusetts System Pumping Record i, i I I 7Cedar System Locgtion el Primary Rome t Road 9 Cedar, Craat Road 970 Salem, Mrd, 01970 7 x (978)-745-1337 x t Batruno Michael Type: Emergene Routine Cesspool: No yes Septic Tank: No Yes ' Date at Pumping: Quantity Pumped: (,' ,Daltons ----T------- System Pumped By Wind River Environmental,LLC Permit#: I Contents Transferred to: :Contents Disposed at: I �I bate: Pumper signature: /'� Condition of System/Other Comments — _,.1.r j I nfA II illl cnn�vi«rcyon:cr,xDep Approved Form-12/07/95 2!3 IaQNIh1 698018Z8L6 SS £Z bL9Z/6ZfZL S+ 9t/90 39tld Commonwealth of Massachusetts Form 4--System Pumping Retard •"^`"'t'�-` Massachusetts System Pumping Record System Owner �u � � � System Location ^� Yi1 f9 �� S3,u r� '03 V Type: Emergency Routine Cesspool: No Yes G,� Septet Tank: No yesr^',�"' Date of pumping: �f '-�7 ... Quantity Pumped: C,S Gallons System Pumped By: Wind River Environmental,LLC Permit#: Contents Transferred to: Contents Disposed all .+ .�D`.� Date: Pumper Signature: Conditian.of System/Other Comments �t N amc+,ecS<k'enF: Dep Approved Form-IV07195 Commonwealth of Massachusetts Form 4--System Pumping Record Massachusetts System Pumping Record System Owner System Location Patruno Michael Primary Home 9 Cedar Crest Road i fiat •'s dt l e-';Jcr Salem, MA, 01970 Salem, MA, 01470 (478)-795-1337 x (978'-741j-1337 x Pnt rl nM Mi rha�l .. Type: Emergent Routine _ Cesspool: No Yes Septic Tank: No Yes© Date of Pumping: �j Quantity Pumped: /Oop Gallons System Pumped By: Wind River Environmental,LLC Permit#: Contents Transferred to: . r' L Contents Disposed at: SL " Date: Pumper Signature: + Condition of System/Other Comments X11 Dep Approved Form-12/07/95 l •��'f ��� ' �,� 577 Main Street,Suite 110, Hudson, Massachusetts 01749 E-Mail: E N V I R O N M ENTAL Telephone 978.562.4500 Facsimile 978.562.7255 I wrenvironmentaLcom October 3, 2006 Wind River Environmental 163 Western Ave. Gloucester, MA 01930 Board of Health Administrator, This package contains the dump slips for the Board of Health from the field office located in Gloucester, MA. This is the work we have completed. If you have any questions, please feel free to contact our Branch Manager, Dave Martin at 978-282-7315. Thank you, Miss Jillian H. LaFlam Form 4 -- System Pumping Record Com anmealth of Massachusetts Massachusetts System Pumoino Record i System Owmer System Location ",:tr=an.; ^;i1.:i:,e: r,•lmary Hoar y C'e,tax ,"I Ott. ROaVl 9 i;ed.ar Crest Road sal-eir., i"A, 3IJ70 5<e.i !!t1 MA, 101976 97E' - r,;t 13; ! r :9781-.745--1337 e. Type: Emergency Routine - - Cesspool: No Yes Septic tank: No OYes Date of Pumping: 6� Quantity Pumped: t \�C,_6albn System Pumped By: Wind Ni Envhvnmentai, /1C permit M Contents transferred to: 15 Contents Disposed at: 1 � 5 Date: - Pumper Signature: \J G `' Condition of System/Other Comments Dep Approved Form - 12/07/95