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HomeMy WebLinkAboutSeptic Pump 4/27/20 YARMOUTH - DENNIS SEPTAGE TREATMENT FACILITY System Identification Town Pumped Telephone# ` ;}0k- , it-7/ Pr,� No. Street Village Owner's Name: O Mail Address: (if different) Use: Residence Business Name Reason Pumped: Maintenance Overflow Blockage Pumper's Observations Facility Septic Tank Cesspool Converted Cesspool __ Pumped: Holding Tank Leach Facility Grease Trap Cover within 1 foot? Yes No Back Flow? Yes — No Gallons Pumped: /Odd Comment: Pumped By Licensed Pumper: Truck License No.: Date: _ .Z 7—�G Driver Name: Signature: Septage Received at Yarmouth - Dennis Approved by: Date: Received: Gallons Ticket#