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Home My WebLink AboutSeptic Pump 5/15/20 YARMOUTH- DENNIS SEPTAGE TREATMENT FACILITY \%(4v, /1 4 System Identification Town Pumped Telephone# (tI /No. ; Street 1/ ( C;(cam Village f Owner's Name: ler(/r� �� Gr� . Mail Address: (if different) J Use: Residence Business �j' Name Reason Pumped: Maintenance Overflow Blockage Pump '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: /�4-00 Comment: Pumped By 0( 5004.4"" Licensed Pumper: Truck License No.: Date: I j 20?U Driver Name: Signature: Septage Received at Yarmouth - Dennis Approved by: Date: Received: Gallons Ticket#