System pumping records 1996-2015 Commonwealth of Massachusetts Form 4--System Pumping Record
Massachusetts
System Pumping Record
System Location
Labrecque Carmen Primary Home
3 Mckinley Rd 3 Mckinley Rd
Salem, MA, 01970 Salem, MA, 01.970
(9'70)-744-6977 x (978)-744-6977 x
Labrecque Carmen
Type: Emergenc Routine
Cesspool: No Yes Septic Tank: No Yes
Date of Pumping: 17r- 11.�e0 Quantity Pumped: /j t�JD Gallons
System Pumped By: Wind River Environmental,LLC Permit#:
Contents Transferred to:
SEP 13 2010
Contents Disposed at:
C__i_.- Si{i_EfN
D ..-,F HEAI_TM S.E.S.D.
SAmn, MA.
Date: Pumper Signature:
Condition of System/Other Comments
® Primed onmcycledpaper Dep Approved Form-12/07/95
02/12/2016 15: 06 9762814869 WINDRIVER PAGE 05/14
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Commonwealth of Massachusetts Form 4--System Pumping Record D%
Massachusetts
System Pumping Record
System OwnerSystem Locafion
Labrecque Carmen PEimary Home
3 Mcki,nley Road 3 Mckinley Road
Salem, MA., 01970 Salem, MR, 01970
(978)-744-6977 x (978)-744•-6977 x
Labrecque Carmen
Type: Emergency, Routine
Cesspool: No Yes Septic Tank: No Yes
Date of Pumping: .!Q— — Quantity Pumped: /?�� Gallons
System Pumped By: ! Wind River Environmental,LLC Permit#:
Contents Transferred to:
1.W.W l.Y.
Contents Disposed at: ps.
I
Date: Pumper Signature: -� l
Condition of System/Other Comments
® Ponaao�mwwciwvevQ Dep Approved Form-12/07/95
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Commonwealth of Massachusetts Form 4--System Pumping Record
Massachusetts
System Pumpinq Record
System�Qwner be System Location
Labrecque Theresa Primary Hume
s Mokirnl"y Rd s Mckinley Rd
Sal<,m, MA, u1970 Sahni., MA, V1970
197h) -744—)977 x 19'18)-744-69Tj x
Labrecque Thetasa
Type: Emergent Routine
Cesspool: No Yes Septic Tank: No Yes
Date of Pumping: IObLoV quantity Pumped: (,DW Gallons
System Pumped By: Wind River Environmental,LLC Permit#:
Contents Transferred to:
RECEIVED
NOV
Contents Disposed at: Ipswich Water S
CITY OF SALEM
Treatment Plant -?)ARD OF HEALTH
Ipswich, MA 01938
Date: Pumper Signature:
Condition of System/Other Comments lil
Dep Approved Form-12/07/95
Forza 4 -- System Pumping Record
Comm meweahh of Mossadasetss
Massachusetts
System Pumping Reeved
SystemOwmer
System Location
:,abrecque Theresa Primary Home
3 Mckinlay Rd 3 Mckinley Rd
S..ler, MA, 01970 Salem, MA, 01970
9r8)-744-6977 x (978)--744-6977 it
Type: Emngency Routine \
Cesspool: Na Yes Septic tank: w Yes
Date of Pumping: 0 a'I Q Quantity Pumped: /50-)) Gallo
System Pumped By: Wind Riner Enwwunenta/, LLC Permit M
Contents transferred to:
Contents Disposed at:
Date: Pumper Signature:
Condition of System/Other Comments
0
CIN OF rALEM
BOARD OF HEALTH
Dep Approved Form - 12/07/95
I
Foran 4 -- System Pumping Record
Comnarweatth of Massachusetss
Massoahuseth
Svstem Pumoim Record
System Oram' System Location
,_.,crus ihnrnau Primary name
Mini, Rd 3 Mck.inky to
w a, MA 01770 SOPM, MA. 01370
(918)-744 -4977 ±t
Type: Emergency Routine
Cesspool: No Yes Septic took: Kb F]Yes M
Date of Pumping: �D I t I�� '� Quantity Pumped: 15013 Gallons
System Pumped In Wad Noor£avinwm mhl LLC' Permit JF:
Contents transferred to: .
Contents Disposed at:
Date: V Pumper Signature: V
CordiNar of System/Other Comments
Dep Approved Form - 12/07/95
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Al. STRONG_ System Servi �j4'
163 Wedtern Ave- --- __----- -- P,cm it
K;i?RT l?i h;S(1S�i:Ci i1 l0: roSter, MA01970 -- - ----
263-0090
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Condition Of SySTelu/GTher comm�nrs.
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R.B. STRONG
Septle System Servicer" 1< - D
163 storAve.
Gcostdr, rn lauMA 01930
283.0080
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! FORM 4-SYS T
CURRI R yp"o
SEPTIC & DRAIN SERVICE NOV 5 - 1998
107 FOREST STREET; MIDDLETON,MA 01949
(978)774-2772 CITY OF SALEM
HEALTH DEPT.
COMMONWEALTH OF MASSACHUSETTS
MASSACHUSETTS
SYSTEM PUMPING RECORD
SYSTEM OWNER: SYSTEM LOCATION:
aep
DATE OF PUMPING: l� QUANTITY PUMPED: ��d GALLONS
CESSPOOL: NO YES F-1 SEPTIC TANK: NO F7 YES Ea-
SYSTEM
-SYSTEM PUMPED BY: CURRIER SEPTIC & DRAIN SERVICE
CONTENTS TRANSFERRED TO: fi
DATE: �d ax- OF: INSPECTOR: C✓
107 Forest St. �N FORM 4 - SYSTEib1 PUAIPLIG RECORD
Middleton,MA 01949 ID
(SOEt) 774.2772 s�e�S�oV of
\W7 FIECo onwealth of Massachusetts
P , Massachusetts flOV 1996
Cr T
Svstem Pumping Recard
vstem t�aer
��y; ystem ocatton
v o n-
Date of Pumping:
n----- — Quantity Pumped. 41allons
Cesspool: No Yes` ❑ Septic Tank: No ❑
Yes
System Pumped by: //�/ J� C
Contents transferred to: S License #!: .. —
Inspector ,
• THE PROFESSIONAL EXPERTS IN THE SEPTIC AND DRAIN INDUSTRY 0