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Home My WebLink AboutSeptic Pump 6/12/20 YARMOUTH - DENNIS SEPTAGE TREATMENT FACILITY System Identification Town Pumped r Telephone# No. Street CYi kee `-' C/ Village !/ Owner's Name: XI (eS(_k'O TTAAy 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: Comment: Pumped By Licensed Pumper: i /` 4 6 f(2- 2GZC Truck License No.: ,aate' Driver Name: ' } l/2- Signature: ,i -,, 4 ' 7.''� Septage Received at Yarmouth - Dennis Approved by: _ Date: Received: Gallons Ticket#