HomeMy WebLinkAboutSeptic Pumping Slip - 45 LACY STREET 4/19/2002 TOWN OF
SYSTEM P G + C
DATE: "SYSTEM OWNER OWNER & ADDRESS SYSTEM LOCATION
(example: left front of house)
.h.�
DATE OF PUMPING: �/' 'G' �� QUANTITY PUMPED jo(,)_GALLONS
CESSPOOL: NO YES SEPTIC TANK: NO YES -
NATURE OF SERVICE: ROUTINE EMERGENCY
OBSERVATIONS: `
GOOD CONDITION FULL TO COVER
HEAVY GREASE BAFFLES IN PLACE
ROOTS LEACHFIELD RUNBACK
EXCESSIVE SOLIDS FLOODED
SOLIDS CARRYOVER OTHER (EXPLAIN)
SYSTEM PUMPED BY:
COMMENTS:
CONTENTS TRANSFERRED TO: