HomeMy WebLinkAbout- Septic Pumping Slip - 1216 SALEM STREET 5/13/2019 ly
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use the retul-n State Zip code
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2. System Owner-
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StateZip Code
B, Pum13`nv,,' Rocard
1- ate Plurnping
Gallons
"TypeI
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Other(describe):,
. Effluenl'Tiee Filter msent? E:J Yes E1,1 0ri o If es, was eane
5. Condition,of System:
Nlarne
Vehicle License Number
t
Wind River Environmental
Company
7. Location where,case wealdi'sposecl: J.Vv'WIT
'Plswich,
htte of IHauler Date
p .mas e /wat e r/app rova Is r I"
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System Pumpi a Record Page I of I