HomeMy WebLinkAboutMiscellaneous - 133 Jenkins Road i
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Pry"f V, "" 577 Main Street,Suite 110, Hudson, Massachusetts 01749 E-Maij/
ENVIRONMENTAL Telephone 978.562.4500 Facsimile 978.562.7 71111ronmental.com
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August 12, 2005 /c/ TGH��o,
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Wind River Environmental
163 Western Ave.
Gloucester, MA 01930
Board of Health Administrator,
This package contains the dump slips for the Board of Health from the field office
located in Gloucester, MA. This is the work we have completed.
If you have any questions, please feel free to contact our Director of Field Operations,
Brad Robertson, at 978-282-7315.
Thank you,
s Jillian LaF m
Form 4 System Pumping Record
Commonwealth of Mossachusetss
Massachusetts
System Pumping Record
"t AVED
AUG 16 200;
System Owner System Location To��!"' i �T`
F' S I z t-"'C i4jl- ,I In
9'J' � Turn Pik-; Po td
Joni-.in- -Rd
01.945 Aftdo,�7or, 1-11,\, (11,81(?
kQ7e) (978) -iF,96-3391 Y.
Type: Emergency Routine
Cesspool: WI Yes Septic tank: W Y.s
Date of Pumping: L/,/, Quantity Pumped:Qoj,0-00 Gallons
System Pumped By; Wind River Enwrowntal, LLC Permit
Contents transferred to:
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Contents Disposed at:
,cam
7A
Sate: Pumper Signature:
Condition of System/Other Comments
Dep Approved Form - 12/07/95