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HomeMy WebLinkAboutSeptic Pump 6/9/20 YARMOUTH - DENNIS SEPTAGE TREATMENT FACILITY gp stem Identification Town Pumped Telep one# No. Street / lam( �-etcA-1—e Village Owner's Name: gS7r7-7.-7 ���'� ✓�' 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: /c)191) Comment: Pumped By jij Licensed Pumper: // /; Truck License No.: Date: ` Driver Name: Signature: Septage Received at Yarmouth - Dennis Approved by: Date: 6/9/4713 Received:/ �'7�' Gallons Ticket# { 9Gl Y` °fit' V 4 ' �i yF ‘,,,,, at �� s .: - ��, �z r ,'3 fa#, a Fes.. , ,.::'zy 1'.*� � _ ..ilf: .:_:,-!.. -':-:__-_ __.-...,„,.._.-, -A--_-i-f,•--::„.7-;:,,,,,,,,,--- ..-,*,,,,,,,,,..„,:p--,4,-,,,,,_„:„, „.„-..„:__,, ,T.,_, _ _-_ : ,,- :-.,,,,,.. , , _ . ,..„_ .,..4--„,„,....., , _-:-.,:::*-t-„, -;gi---7,5:-_.-:;,:--,,,i,..:„.,--:, - _. - _ , _ -,, J, . -.._---,_:-.--_,_, .. - '...e.-.2 '11w-, .;-,T47.- ",'" ..--,e-.---, - : L. ....�,,: ��`% �',.� ��.�»ram... - .._ -- _ xs. e ^wY : � ` 3 3