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HomeMy WebLinkAbout2021-06-21 Liquid Environmental Solutions - Non-Hazardous Waste Manifest - Sewer Services Sewer Services, Inc. Commercial Manifest Report Date: 01/2(f Driver's Name: .•0 Start Time: {: Finish Time: 9:Vf.,.. Job Type(drdeoneorcamptete-Other) Holding Tank Car Wash Trench Drain Sand Pit Grease Trap Jetting/Snake Other Customer: Address: r8 IS A/orr(l 4t A , 64 potk //- ,h/r r h, Jetting: YES hp., Mainline: YES 11O Number of Additional Lines/Drains ---� SILICONE USED: YES NO Water Decanted onsite: YES Na-- Gallons of Water: -- Vfir Gallons of Sand: �----'"—" Disposal Site: Blue Lake ,,5 Paul Dem-Con Other: Number of Structures Pumped: 2 Distance from Truck/Location&Access to Structure: /(oy 91 c r f 114- 1,4 ,i .I/ j- firet ,tt/{ G' fr..f [i Cw#h fo e_j' I./We w,(/ COI Ai 4 _ , ,s ISdU / )iri fl �. t7 c /./ roe �- Managers Signature:„j _.ir�f1' -�,.. , �.- Date: Print d Name: Scanned with CamScanner '-t<;°'rn ef\V ure