HomeMy WebLinkAboutSeptic Pumping Slip - 338 SALEM STREET 8/5/2014 Commonwealth f Massachusetts
City/Town of 06_-
System Pumping Record
Facility Information:
System Location:
(3
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Address
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City/Town State Zip Cade
System Owner:
Name:
Adress (if different from location of pump)
City/Town State Zip Code
Telephone Number
Pumping Record
Date of Pumping_ Quantity Pumped tIJ06 gallons
Type of System Atic TGrease Trap Other {what)
System Pumped by: Se ank / b/ _.
Company: ROOTER-MAN 46 Portland Street Lawrence, MA 01843
Location where contents wer disposed:
Signature of Hauler Date y