Loading...
HomeMy WebLinkAboutSeptic Pump 4/22/20 YARMOUTH- DENNIS SEPTAGE TREATMENT FACILITY System Identification Town Pumped Telephone# No. L Street � �"''�f `r t ‘G Village //__ Owner's Name: '1' J 065' I 11 Jr/ (077,0 Mail Address: (if different) i1 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: /f" Comment: Pumped Licensed Pumper: / Truck License No.: Date: ? 2 zG l� Driver Name: , ‘).; Signature: /2/ Septage Received at Yarmouth - Dennis Approved by: Date: Received: Gallons Ticket#