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02/12/2016 15: 06 9782814869 WINDRIVER PAGE 03/14
0207(69277 1 VOEf2012
Commonwealth Of MOSSGChU5ett5 Farm 4--System Pumping Retard 4143%
Massachusetts
System Pumping Record
System Owner System Location
The 'red J Dion Yacht Y2rd The Fred T Dion Yacht Yard
23 Glendale Street 23 Glendale street
Salem, MA, 01)70 Salem, MA, 01970
;975)-744-0844 x 202 (978)-744-0844 x
Tom ,Hayden
Type: EmergenRoutine �5�/
Cesspool: Na Yes 5 Tank: No = Yes
Date of Pumping: [ — Quantity Pumped: ID Gallons
System Pumped By: Wind River Environmental,LLC Permit#:
Contents Transferred to:
i
Contents Disposed at: +��"•S•vvD.,,
Date: Pumper Signature:
fandition of System/Other Comments
Nnmdnnmcy ladpip r Dep Approved Form-12/07/95
12/29/2014 23: 15 9782814869 WINDRIVER PAGE 09/10
02070SU98 �+ ] 12f08J2012
Commonwealth of Massachusetts Form 4--System Pumping Record
Massachusetts
System Pumping Record
System Owner System Location
Tote Fred J Dion Yacht Yard The Fred J Dion Yacht Yard
23 Glendale Street 23 Glendale Street
Salem, MA, 01970 Salem, MA,, 01970
(978)--744-0844 x 202 (978)-744-0844 x
Tom SAyden
Type: Emergenc Routine
Cesspool: No Yes Septic Tank: No Yes ---
bate of Pumping_ i'Z - /Z ' /"C.� Quantity Pumped:_1�000 Gallons
System Pumped By: Wind River Environmental,LLC Permit#:
Contents Transferred to:
Contents Disposed at:
Date: Pumper signature: ,11�
Condition of System/Other Comments
R Ila
Salem.
MA,
® hv�edor.rc:yctedpaper Dep Approved Form•12/07/95
01/10/2014 14: 58 9782814869 WINDRIVER PAGE 03/04
Commonwealth of Massachusetts Form 4--System Pumping ReccrdW
Massachusetts
System Pumping Record
SoeA Owner T23
Location
The Fred J' Lion Yacht Yard
Fred J Dion Yacht Yard
23 Glendale Street Glendale Street
Salem, iuq, 01970 em, MA, 01970
(978)-744-0844 x 2028)-744-0844 x
Tom Hayden
Type: Emergent Routine
Cesspool: Ne yes
Date of Pumping:— Septic Tank; � No � Yes
r �y t 3 Quantity Pumped: 12�[9 Gallons
System Pumped By: Wind River Environmental,LLC
Permit#:
Contents Transferred to:
Contents Disposed at:
Sulem. MA.
�r r41
)ate: Pumper Signoture: '
;ondition of System/other Comments
R r
n��ma o�rcM.i�e rnx; UP Approved Form-12/07/95
03/05/2013 12:36 9782814869 WINDRIVER PAGE 01/03
sne+sn�snen
_ Commonwealth of Mossochu5ett5 Form 4-•System Pumping Record i.2fiU%
Massachusetts
System Pumping Record
System Owner System Location
The Fred J Dion Yacht Yard The Fred J Dion Yacht Yard
23 Glendale Street 23 Glendale Street
Salem, MA, 01970 Salem, MA, 01970
(978)-744-0844 x 202 (978)-744-0844 x
Tom Aavden
Type: Emergent Routine
Cesspool: No Yes 4opoeTank: NojVg] Yes
Dote of Pumping:: 41C Quantity Pumped:_6all0ns
System Pumped By: Wind River Environmental,LLC - Permit#:
Contents Transferred to:
Contents Disposed at:
Date: t Pumper Signot --�'
Condition of System/Other Comments
INVIRON.NENTA:
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® Rimwoft rceyeleapgcr Dep Approved Form-12/07/95