Loading...
28 CHERRY HILL AVENUE SYSTEM PUMPING RECORDS 2010-2016 RECEIVED 01/27/2017 03:50PM 9787450343 Salem Health Dept 01/27/2017 15:43 9782814869 WINDRIVER PAGE 05/07 0207 078789 i 1/12/1002 Commonwealth of Massachusetts Form a—System Pumping Record')% Massachusetts System Pumping Record System Owner System Location %very Terry primary. Home 28 C;erry Ei.11 Avenue 28 Cherry SLill Avi3nve Salem, PTA, 01970 Salem, IMA, 01g?0 (978) -745-8208 x (978)-745-8208 x Avery Terry Type: Emergent Routine Cesspool: No Yes Septic Tank: N�oW Yes Date of Pumping: j j 5 Quantity Pumped: Gallons System Pumped By: Wind River Environmental,LLC Permit#: Contents Transferred to: Contents Disposed at: Date: Pumper Signature: c~ Condition of System/Other Comments C e..e,.,, erhii! WWTo 40 S Porter St Bradford, Ma 01835 (978) 374-2382 Dep Approved Form-12/07/95 12/09/2013 11:21 9782814869 WINDRIVER PAGE 08/11 i . -n �: r,ynanemaae 11112'2002 commonwealth of Massachusetts Form 4--System Pumping Record60%, Massachusetts System Pumping Record System Owner System Location Avery Terry Primary Zome 29 Cherry Hill Ave 28 Cherry Hill Ave Salem, MA, 01970 Salem, MA, 01970 (978)-745-8209 x (978)-745-8208 x Avery Terry Type: Emergent Routine Cesspool: No Yes Septic Tank: No Yes Date of Pumping: !P 1!'1a 'Quantity Pumped: JQM Gallons System Pumped By: Wind River Environmental,LLC Permit#: Contents Transferred to: Contents Disposed at: . . . Date: Pum/pe�r Si attire: Condition of System/Other Comments `- Shcl Salem. MA. .e ® rnnrcd0,1 aydcap m Dep Approved Form-12/07/95 Commonwealth of Massachusetts Form 4--System Pumping Record 6 Massachusetts System Pumping Record e Systemucation Avery Terry 26 Cherry Fif11 AvGpue Prs,mary Hone 2B Cherry Hill Avenue Salem, MA, 01970 Salem, 1�p, 01970 (978)-745--8208 x (978)-745-8208 x Avery Terry Type: Emergent Routine Cesspool: No y� Date of Pumping: Septic Tank: No yes Quantify Pumped: Gallons System Pumped By Wind River Environmental,LLC Permit#: Contents Transferred to: Imp /F / V Contents Disposed at: Date' Pumper Signature: .. Condition of System/other Comments ,j ►l ►d 24 �q. ® Ptlmeaonrmycmdpapm Deo Abbroved Fnrm-fPM7/09 OT/CO 39VJ d3AINGNIM 6980T8Z8L6 ST:EZ t`T9Z/6Z/ZT 12//15/'2012 11:24 9782814869 bJINDRIVER PAGE 01/013 ,10207035366 �li�z�zoo2 Commonwealth of Massachusetts Form 4--System Pumping Record 2250% Massachusetts System Pumping Record System Owner System Location Avery Terry Primary Home 28 Cherry Hill Ave 28 Cherry Hill Ave Salem, MA, 01970 Salem, MA, 01970 (978)-745-6208 x (978)-745-8208 x Avery Terry Type: Emergen Routine Cesspool: No Yes Septic Tank: No Yes® Date of Pumping; j l�?I o� �E) Quantity pumped: 0(, O�6allans System Pumped By: . Wind River Environmental,LLC Permit#': Contents Transferred to: Contents Disposed at: "�uM t�is'1L. Date: 3 .. Pumper 5 :ondition of System/Other Comments Fry Vicprv .,E.v ni. KECoQS Drain Problems? We're Local&Fast 1-866-866-6214 F1 wd.. &dww Dep Approved Form-12/07/95 Commonwealth of Massachusetts Form 4--System Pumping Recorog % Massachusetts -SyStem Pumping Record System Owner ... ... a .,...„ ,,.,.,., System Location Avery Tarry X'1:rtrYs1^y EL-ne 20 C-hezry Aill Ave 2FS Cher"j lb,11 Ava salasn, M7�, O.L510 S-s+l�aln., KA, 01970 Avory Teiic_ Type: Emerges Routine �5 Cesspool: No Yes Septic Tank: No Yes Date of Pumping: Quantify Pumped: Gallons System Pumped Ry: Wind River Environmental,LLC Permit#: �— Contents Transferred to: Contents Disposed at: I,W.W.T.P. Ipswich, MA. Date, Pumper Signature: Condition of System/Other Comments f ® PJnad omaycicJwpex Dep Approved Form- 12/07/95 Commonwealth of Massachusetts Form 4--System Pumping Record 0% Massachusetts System Pumping Record 5j9Fefr VM`eirr- garar o System Location Avery Terry Primary Home 28 Cherry Hill Ave 28 Cherry Hill Ave Salem, MA, 01970 Salem, MA, 01970 (978)-745-8208 x :t8)-745-8208 x Avery Terry Type: Emergenc Routine Cesspool: No r Yes Septic Tank: N� Yes Date of Pumping: ��JIG Quantity Pumped: Gallons System Pumped By: Wind River Environmental,LLL Permit#: Contents Transferred to: _r. .L. Contents Disposed at: s S. Z/ISalem, MA. Date: Pumper Signature: Condition of System/Other Comments ® Pnotedonrecycled parer. Dep Approved Form- 12/07/95 �q c7i HES l H 1 Commonwealth of Massachusetts Form 4--System Pumping Record Massachusetts System Pumping Record System Owner System Location Avery Terry Primary Home 28 Cherry Hill Avr 28 Cherry Hill Ave Salera, MA, 01970 Salem, MA, 01970 (9'78) -745-8208 x (978)-745-8208 x Avery Terry Type: Emergent Routine ✓ Cesspool: No Yes Septic Tank: No F—I Yes Date of Pumping: 10—5-01 quantity Pumped: 1OX Gallons System Pumped By: Wind River Environmental,LLC Permit#: Contents Transferred to: Contents Disposed at: SES ®. Salem, MA. Date: Pumper Signature: Condition of System/Other Comments ® Pnmedooircyc�eapaper Dep Approved Form- 12/07/95 4 L 11!w.+ EI N fes® NOV 0 6 2009 SALEM .�i OF HEALTH Y 1 nn+....nn...... ♦unwwwn Commonwealth of Massachusetts Form 4--System Pumping Record Massachusetts System Pumping Record System Owner System Location. Avery Terry Primary Home 28 ChArry Hill Ave 28 Cherry Hill Ave 9 c N Salem,, MA, 01970 Salem, MA, 01970 1978)-745-8208 x (978)-745-8208 x Avory Terry Type: Emergent Routine Cesspool: No Yes Septic Tank: No Yes Date of Pumping: 6,.,�,L��p� Quantity Pumped; &X.36 Gallons System Pumped By: Wind River Environmental,LLC Permit#: Contents Transferred to: dr I p r' Contents Disposed at: Date: Pumper Signature•. Condition of System/Other Comments C Dep Approved Form-12/07/95 0222016367 1111 WM2 Commonwealth of Massachusetts Form 4--System Pumping Record Massachusetts System Pumping Record System Owner System Location Avery Terry Primary Home _H Cherry Hill Ave 28 Cherry Hill Ave Salem, MA, 01970 Salem, MA, 02970 (9'8) -74b-8208 x (9'18)-745-5202 x Avery Terry Type: Emergent Routine Cesspool: Noes Yes Septic Tank: No Yes Date of Pumping: �/p La-7 Quantity Pumped: la&3 Gallons System Pumped By: Wind River Environmental,LLC Permit#: Contents Transferred to: Contents Disposed at: J Date: Pumper Signature: xw Condition of System/Other Comments - RECEIVED 'JUN -.5 2007 CITY OF SALEM BOARD OF HEALTH Dep Approved Form-12/07/95 Form 4 -- System Pumping Record Comcomealth of Massachusetts Massachusetts System Pumoim Record system Oemer System Location �a n Pt-Y ?r i-LIry tlt-r t• ..L. JPOT j7j,. L. El znor r. con u1970 Sal.rek MA, DI9*10 Type: Enw.rgermy Routine Cesspool: Ido Yes septic tank: Wo Oyes E ' Date of Pumping: quantity Pumped: Gallons System Pumped By: Wind Riker i5marmmenfoi, LLC Permit M Contents transferred to: Contents Disposed at: Date: pumper Signature: Condition of System/Other Comments Dep Approved Form - 12/07/95 577 Main Street,Suite 110, Hudson, Massachusetts 017491 E-Mail: R1 V TR 2, Telephone 978.562.4500 Facsimile 978.562.7255 wrenvironmental.com ENVIRONMENTAL Y��r, '~moi!ti •"�'-•Y�T�� O 2005 SALEM January 5, 2005 BOARD OF HEALTH 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 Director of Field Operations, Brad Robertson, at 978-282-7315. Thank you, Mis T ian H. L m Form 4 -- System Pumping Record _ Commonwealth of Massachu:etss system Pumoim Record JAN - G 2005 System Owner _ System Location - — EM m =. y Crisrary Hc..i BOARD OF HEALTH . -�ry HIL. 41ti e Carorry y:.!4 AlrE MA. r1971 r9781-745 A':az'y Torry' Type: Enwrgency Routine ---.-....._. Cesspool: No Yes septic tank: NoL�Yes Date of Pumping: I].I�.p W Quantity Pumped: /1-7d� Gallons n System Pumped By: Wind Ainor El ewim*mcnto% (1C permit#: s-i� Contents transferred to: Contents Disposed at: Sv S S Date Pumper,Signature: l �/ Condition of System/Other Comments Dep Approved Form - 12/07/95 Form 4 D Commomveakh of massachusetss Massachusetts System Pumoina Record DEC D -2003 QTY OF SALEM BOARD OF HEALTH System Owner system Location Avery "_'exry Prim,.ary [Lome 29 Cherry Hill Ara 28 Cherry Hill Ave se'lem, MA, 01970 Salem, IIIA, 01970 C,79)-745,. 8208 x. i97©}_.745-820$ x Type: Emergency Routine Cesspool: No Yes septic tank: Mo Yes Date of Pumping: 0 }p 0,3 Quantity Pumped: -WP J Gallons System Pumped By: Wind Riney Environmental, LLC Permit At: Contents transferred to: Contents Disposed at: i Date: Pumper signature: i Condition of System/Other Comments Dep Approved Form - 12/07/95 " Forest MA 01949 SGP�oc - FORM 4- SYSTEM Pni TPLNG RECORD e.Commonwealth of Massachusetts Massachusetts System Pumping Record ystem %\mer System Location ja Date of Pumping: y Quantity Pumped/M�gallons Cesspool: No ❑// Yes ❑ Septic Tank: No ❑ Yes Lam' System Pumped by: C// r/ ... License #: ................... ...._...... ..___ Contents transferred to: S�S� Date Inspector