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Home My WebLink AboutSeptic Pump 8/19/20 YARMOUTH - DENNIS SEPTAGE TREATMENT FAC / System Identification Town Pumped �—r' Telephone# No. � Street 'C�,�i `! 7-t 7 Village Owner's Name: ��i-,„/ 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: , Comment: Pumped By Licensed Pumper: Z:-2,),/7// Truck License No.: Date: y/rni/c.9-6) Driver Name: /-' Signature: Septage Received at Yarmouth - Deennn's L Approved by: Date: J 1 W``� 6' Received: r�� Gallons Ticket# 1�"y ,• . , -. 1 - •-••• •