HomeMy WebLinkAboutSeptic Pumping Slip - 275 ABBOTT STREET 8/25/2015 i
Commonwealth of Massachusetts
City/Town of
System Pumping Record
Facility Information:
System Location:
Address —
City/Town State Zip Code
System Owner:
%n
Name:
Adress(if different from location of pump)
City/Town State
Zip Code
Telephone Number
Pumping Record
Date of Pumping ) Q / 2
Quantity Pumped.. ,, } 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 disposed: �(
Signature of Hauler . TQ -�
Date