29 WINTER ISLAND ROAD UPC 10230
No. H163
HASTINGS HN
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Form 4 --System Pumping Record
Commonwealth of Massaahusetss
Massachusetts
System Pumcino Record
System Owner System Location
BILL LINSKY CONSTRUCTION Linskey Construction -
P O.Box 891 29 Winter Island Road 1
Salem, MA 01970 Salem, MA 01970
(978) 744-2300 (978.) 744-2700
Bill
T Emerg Routine
Cesspool: No Yes / . ���/ c tardy. No Ycs
of Pumping: r 1W/ Pumped: Ions
'bexo - cry r� 1 ''
System Pumped By: Wind River Environmental, LLC Permit
Contents transferred to:
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Contents Disposed at:
Date: Pamper Signature:
Condition of System/Other Comments
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Dep Approved from - 12/07/95 APR 3 0 2001,
CITY OF SALEM .
HEALTH DEPT.
n
Form 4 -- System
CommonnyeaMh of Massachusetss FOM
avzjp'�Massachusetts
System Pumping Record JAN t 1 2001
CITY OF SALEM
HEAI_Tla nFPT.
System Owner System Location
Joanna Scott Joanna
29 Winter Island Road 29 Winter Island Road
Salem, MA 01970 Salem. MA 01970
(978) 741--4068 (978) 741-4068
Joanna Joanna
Type: Emergency Routine
Cesspool: No Yes Septic tank: No OYcs
Date of Pumping: ? t7( Quantity Pumped: /!;60 Gallons
System Pumped By: Wind Phar Ennivameata/, UC Permit M
Contents transferred to:
Contents Disposed at:
Date: 1216 Pumper Signature:
Condition of System/Other Comments
Dep Approved From - !2/07/95
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KEYEDEN4iaON MENTAE. -
JAN 0 5 2uui
CSF SALEM
HERI TIF
OEPT.
C.'U RIER ?OF ;J4-SYS zmpumPfNo RECORD
SEPTIC bRR IN SER�'I�.E
101 FOREST STREET;��DL'c^Q'GN, M A Ut?49 ,
(918;174.2?i2
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�.�•- SYS7EM LOCATIr]N;
L—ar i Je�q • �
DATE OFPUMSTDIG:__/ - .;`)
GALLONS
CESSPOOL: NO YES
SE-77C TA\'Y NO
YES
SYSTFa�1 PUMPED AY: CURF
CON ENTSTRANSFFR.REDTO:
DATE:--.----�
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' FORM 4- SYSTEM PIPMo
Commonwealth of Massachusetts
Massachusetts 'JC, 19 1999
CITY OF SALEM
System Pumping Record HEALTH DEPT.
System Owner System Location
Type: Emergency outine ❑
Cesspool: No ❑ Yes L`J Septic Tank: No ❑ Yes ❑
Date of Pumping: to Quantity Pumped: -z4a gallons
System Pumped by (Company): Fig Permit :
Contents transferred to:
r
Contents disposed at:
Date Pumper Si ...e
Condition of system/other comments:
DEP APPROVED FORM-12/07/95
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MasA�ahue�t4g ! ' .
1999 I
�EAIJH DEPT,
System �umdtng ]�e�erd I
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I :u„ -,1- Pumping: /4 �� / t7uAtltlly puNtpedl� gAlIdH9
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`; rstem Pumped by' ... Cleanse M I
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a.'rnilcnts ttansfetted to:
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