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HomeMy WebLinkAboutSeptic Pump 6/23/20 - 1 YARMOUTH - DENNIS SEPTAGE TREATMENT FACILITY 7/ System Identification Town Pumped /1-14, ,-., ,Telephone# {{ No. Street s.(% Village Owner's Name: -- 1 ! / - -2 , ?''. h l le` (.", , 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 PumpeS 3 1 Comment: / Pumped By Licensed Pumper ! j Truck License No.: :Date: Driver Name: , .-7K. Signature: Septage Received at Yarmouth - Dennis Approved by: Date: Received: Gallons Ticket#