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HomeMy WebLinkAboutSeptic Pump 5/12/22 YARMOUTH- DENNIS SEPTAGE TREATMENT FACILITY System Identification Town Pumped Telephone# No.- Street G'V drieie_ Village Owner's Name: 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: /SWU Comment: Pumped By Licensed Pumper: - Truck License No.: Date: Driver Name: Signature: Septage Received at Yarmouth - Dennis Approved by: _. Date: Received: Gallons Ticket# --