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HomeMy WebLinkAboutSeptic Pump 7/11/22 AM:OI+.i M Y -`Yi'..4'F,il A + Y i,^">` SN�"w..-;6, bY-- .: ti 1 Yarmouth Septage Treatment Facility I j ystem Identification i Town Pumped ����/�' Telephone yLJ{'l0e'( f`oc)5C' 'O No. Street Village Owner's Name v_ C \ n /7 SC( UseResidence Business Restaurant? Yes No Reason Pumped: Maintenance Overflow Blockage Pumper's Observations - Facility Pumped Septic Tank - Cesspool Converted Cesspool Holding Tank Leach Facility Grease Trap Porta-Potty Lift Station Other Wastewater Plant Cover within 1 foot? Yes- No Back Flow? Yes No Gallons Pumped: Comment: Hauler Information Company: 7 / / 7� Truck No.: ` Date: Driver Name: // Driver's Signature: �� Septage Received at Yarmouth / -57 Weighmaster Initials: ; 1,1 J Date: 7/11/ 7"� Gallons Received: )gj rC Ticket#: 21�43v7 i________ ______5:- yo�$ 17- y 9z-0 ._.0 1 --o �� � ty3- 6 17- 0 /53- 6 8