HomeMy WebLinkAboutSeptic Pumping Slip - 29 GRANVILLE LANE 1/11/2015 Commonwealth of Massachusetts
City/Town of
System Pumping ecord
Facility Information:
System Location:
Address
City/Town ^t State Zip Code
System Owner:
Name:
Adress(if different from location of pump)
City/Town State
Zip Code
Telephone Number
Pumping Record
Date of Pumpin S.: � �
uantity.Pumped �CI�-'(�J gallons
Type of System _Septic Tank Grease Tra p .Other (what)
Y b ! `
system Pumped y: +
Company: ROOTER-MAN 46 Portland Street Lawrence,MA 01843
Location where contents were dis sed: J ,
Signature of Hauler j� � Ct
Date '
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