HomeMy WebLinkAboutSeptic Pumping Slip - 102 WINTERGREEN DRIVE 11/16/2015 Commonwealth of Massachusetts
City/Town of
System Pumping Record
Facility Information:
System Location:
Address
City/Town State Zip Code
System Owner:
Name:
Aaress(if different from location of pump)
City/Town State
Zip Code
Telephone Number
PMP
Mg Record
Date of Purnpin t :.
�°°� ._Quantity Pumped ".:p : gallons
Type of System �V Septic Tank Grease'Trap Other --
(what)
Sys tem Pumped by: a
Company: ROOTER-MAN 46 Portland Street Lawrence,MA 01843
Location where contents were disposed: '
Signature of Hauler ',�.✓� �
Date . Q'