6 PARADISE RD (� �LJt4A �/S E �7.�
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Commonwealth of Massachusetts Form 4--System Pumping Record
Massachusetts
System Pumping Record
System Owner System Location
Wendy' x Restaurant Wendy s #861334
Z34 U ttl®ton Road 6 ParaJ:i-A P"
Westford, MA, 01886 Salem, MA, 01970
000, 443-7266 x 078)-'744-77800 x
Type: Emergent Routine /� As- ,�/iAV
Cesspool: No Yu vim: No YesFIVI
Date of Pumping: 9 4 Quantity Pumped: IM d Gallons
i
System Pumped By: Wind River Environmental,LLC Permit#i
Contents Transferred to:
Contents Disposed at: r
Date: Pumper Signature:
Condition of System/Other Comments
Dep Approved Form-12/07/95