25 Septic Pumping Records 2016 Commonwealth of Massachusetts
Massachusetts
System Pumping Record
ACM A nnnn
Form 4--System Pumping Record■%
System Owner
New England Deaconess Assoc.
BO Deaconess Road
Concord, MA, 01742
(978)-931-3095 x
System Location
OS - Rock Ridge Retirement Community
25 Coles Meadow Road
Northampton, MA, 01060
(617)-959-119B .x
New England Deaconess Assoc.
Types: Emergency{
Cesspool: No
Date of Pumping:
Routine
Yes Septic Tank: No Yesr
Quantity Pumped:_Gallons
System Pumped By: Wind River Environmental,LLC
Contents Transferred to:
Permit#:
Contents Disposed at:
USb I-ao °Ib
Date: I � ON� � �
Condition of System/Other Comments
Pumper Signature:
i3/419 Level
tedon ,vRr
Dep Approved Form-12/07/95
- I
0252014342
L
Commonwealth of Massachusetts
Massachusetts
System Pumping Record
08/14/2002
Form 4--System Pumping Record
System Owner
New England Deaconess Assoc.
80 Deaconess Road
Concord, MA, 01742
(978)-031-3085 x
System Location
90 - Rock Ridge Retirement Community
25 Coles Meadow Road
Northampton, MA, 01060
(617) -9+9-1190 x
New England Deaconess Assoc.
Type: Emergency{ C
Cesspool:
Date of Pumping:
f —, — ico
Routine
Yes
System Pumped By: Wind River Environmental,LLC
Contents Transferred to:
Ti
Septic Tank: No Sr Yes
Quantity Pumped:'+ O6 Gallons
Permit*:
Contents Disposed at:
u•bv)
Date: r 23—/(0
Pumper Signature
Condition of System/Other Convnents /
/1(60 U Pali C /01.9572.C.
Pliormimedn•
Dep Approved Form-12/07/95
•
Commonwealth of Massachusetts
Massachusetts
System Pumping Record
nRNGnnn0
Form 4--System Pumping Record i%
System Owner
New England Deaconess Assoc.
80 Deaconess Road
Concord, MA, 01742
(97B)-831-3005 x
System Location
OS - Rock Ridge Retirement Community
25 Coles Meadow Road
Northampton, MA, 01060
(617)-959-1168 x
New England Deaconess Assoc.
Type: Emergency ✓
Cesspool: No
Date of Pumping: /
Routine
Yes
Septic Tank:
Quantity Pumped
No
c'IicW
YesrL
Gallons
System Pumped By: Wind River Environmental,LLC Permit#:
Contents Transferred to:
Ntti
Contents Disposed at:
1g5.1cp
Dare: (-ZS—/c.
Condition of System/Other Comments
Pumper Signature:
numedmrecyceinwt,
Dep Approved Form-12/07/95
Z �
0252014350
Commonwealth of Massachusetts
Massachusetts
System Pumping Record
08/1412002
Form 4--System Pumping Record
System Owner'
New England Deaconess Assoc.
80 DeadDbess Road
Concord, MA, 01742
(978)-831-3095 x
Type: Em Routine
Cesspool: No Yes es
Date of Pumping: %- 4- 'f/1
System Location
OS - Rock Ridge Retirement Community
25 Co1es Meadow Road
Northampton, MA, 01060
(617)-959-1108 x
New England Deaconess Assoc.
Septic Tank: No Yes
Quantity Pumped: .' Gallons
System Pumped By: Wind River Environmental,LLC Permit#:
Contents Transferred to:
Contents Disposed at:
�i eith d 112
Date:
Condition of System/Other Comments
Pumper Signature:
Arm BK - 01-261- ph E;$,nl-t7t
Printed on recycled paper
Dep Approved Form-12/07/95