23 PARLEE STREET 23 Pailee 45+reef �sepl;G
Feb 07 2012 10: 20FM HP LFSERJET Fnx P. 1
Wind River Environmental
577 Main Street, Suite 110
Hudson, MA 01749
February 7, 2012
Please find attached our disposal slips for the month of January. If you
have any questions or concerns please contact me.
Best regards,
Jamie Coble
Office Administrator
978-282-7315
163 Western Ave, 6laucester, Massachusetts 01930
ph 978-282-7315 fax 978-281.4869
e-mail Jcoble@wrerwlronmental.com
Feb 07 2012 10: 20AM HP LASERJET FAX P. 2
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02G7t]��lAg7
commonwealth of Massachusetts Form a--System Pumping Record(l,"G°A
Massachusetts
System Pumping Record
System owner System Location I,
('ori aav xeri Home
2:3 pac3.ee Street 5::"- Parl.oe Sitreet.
Ulom, K%, 311971) Salem, DIA, 0].930
{971#7-,:S:TS-5a7�a x' (9'7a)-,","6-•'3h7A x
C'•�actre�J>z
Type: Emergent Routine
Cesspool' No yrs is *1•Tnnu No yes
Date of Pumping: 4 Quantity Pumped)1b0Gallons
System Pumped By: Wind River Environmental,LLC Permit#.
Contents Transferred to:
Contents Disposed at:
Salem.MA
Date: Pumper Signature:
Condition of SystemyClther Comments
rnaacnacyzleup�px Dep Approved Form- 18/07/95