HomeMy WebLinkAboutSeptic Pumping Slip - 200 CANDLESTICK ROAD 6/23/2015 Commonwealth of Massachusetts
City/Town of
A41
System Pumping Record
Facility Information:
System Location:
Address
City/ own State Zip Code
System Owner:
M a VJ
Name:
Adress (if different from location of pump)
City/Town State Zip Code
- 6,-)
Telephone Number
Pumping Record
Date of Pumping Quantity Pumped V, gallons
Type of System
Septic Tank Grease Trap Other (what)
System Pumped by:
Company: ROOTER-MAN 46 Portland Street Lawrence,MA 01843
Location where contents were disp sed:
Signature of Hauler a Date-