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HomeMy WebLinkAboutSeptic Pump 6/12/20 YARMOUTH - DENNIS SEPTAGE TREATMENT FACILITY L� ( System Identification G tOV '1 Town Pumped j ( 1' Telephone# No. Street ( /mil Village • Owner's Name: A, ( koll/ (-)o,` '�✓�S% / Mail Address: (if different) Use: Residence ,/ Business Name Reason Pumped: Maintenance i` -- 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— NoCI Gallons Pumped: '7CO Comment: Pumped By Licensed Pumper: //COW Truck License No.: .. e: Driver Name: / Signature: Septage Received at Yarmouth - Dennis Approved by: Date: Received: Gallons Ticket#