92 ORNE ST 08/06/20141. 14:35 9782814869 WINDRIVER PAGE 03/14
Commonwealth of Massachusetts Farm 4--System Pumping Recard.293
Massachusetts
5ystem Pumping Record
System Owner System Location
Bermett Ed ,Primary Home
90 orne Stceet 90 targe S�t:eEt n l .
Salem, VU4, 01970 �5alergkrNG1-c�t��>r �� /I�
(781)-9-53-4979 x (5 843-57y0 x �t Lt;w C I'�t 1 [�/ -j
Bennett Ed
type: Emergent Routine
:esspool: No yes Septic Tank: No Y�Q
)ate of Pumping: Quantity Pumped:
f 60 Gallons
System Pumped By: Wind River Environmental,LLC Permit#:
Contents Transferred to:
Contents Disposed at: _ S.F•S.D.
t
Date: Pumper Signature:
i
Condition of System/Other Comments .
d
® Mw for.gwl2dPapa, Dep Approved Form-12/07/95 1 1
Commonwealth of Massachusetts
Salem, Massachusetts
System Pumpine Record
System Owner & address:
Robert &Rachel Lutts (�
92 OF Stre
aeSlm� 0
APR 2 9 2004
Location of system: Rear yard CITY OF SALEM
BOARD OF HEALTH
Date of Pumping: April 19, 2004
Type of system: Septic tank
Gallons Pumped: 1500 gallons
System pumped by: Service Pumping&Drain Co.. Inc.
License #: 1-03 & 2-03
Contents transferred to: Fitchburg Treatment Plant
Date:. A nl 19,2004 Pumping Technicia(mW
This is PROPRIETARY and CONFIDENTIAL information that may be used only
by the Board of Health for regulatory purposes