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02/12/2016 15:06 9782814869 WINDRIVER PAGE 04/14
02O7066214
Commonwealth of Massachusetts Form 4--system Pumping Record m"
Massachusetts
System Pumping Record
System Owner System Location
Tropical Products Holding Tank
220 Highland Avenue 220 Highland Avenue
Salem, MA, 01970 Salem, MA, 01970
(970)-740-5665 x 1G4 (976)-740-5655 x
Tropical Products
Type: Emergen Routine
Cesspool: No r Yes Septic Tank: No Yes "
Date of Pumping: 1;� -- (� Quantity Pumped: 6dlons
System Pumped By; Wind River Environmental,LLC Permit#:
Contents Transferred to:
Contents Disposed at:
Date: 1 v 1 r �✓ Pumper Signeture.:
Condition of System/Other Comments
c
® a;n�daarc�i_ddar Dep Approved Form-12/07/95
CURRIERFORM 4-SYSTEM PUMP1Ng RECORD
SEPTIC & D1AIN SERVICE
107 FOREST STREET, MIDDLETON, MA 01949
(978) 774-2772
NOV 0 2006
CWEALTH OF CITY OF SALEM
OMMON
MM MASSACHUSETTS -
HEALTH DEPT.
�
MA
SSACHIJSETTS
SYSTEM PUMPING RECORD
SYSTEM OWNER:
,SCSI 6 S SYSTEMLOCATION:
a 5-4 be �✓�
S gG - 03dl �
DATE OF PUMPING:
QUANTITY PUMPED:
CESSPOOL:- NOES —`�— GALLONS
SEPTIC TANK:
NO YES --
SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE
ONTENTS TRANSFERRED TO:
ATE: p
INSPECTOR:
sot�m 30 I I� J&S Development dba
Stewart's Septic
/a0 wash)Q5;69 S.)- `4p(o r Andover Septic
u';`" 58 South Kimball Street
Bradford, MA 01835
0176
Date Name & Address Gallons Comments
8-Oct tropical product 220 highland av 2500 ex sol
771�3EIVE®
a
Nov 2 0 2013
v'r SALEM
.Af4,,D U
F HEALTH