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Grease Trap Manifest

COMPANY: A&B Septic Services

ADDRESS:

2544 Alamance Church Rd.

Greensboro, N.C. 27406

Driver Name:

Truck #

_________________________

1.

Name:

Pump Date:

Service Address:

Gallons Collected

2.

Name:

Pump Date:

Service Address:

Gallons Collected

3.

Name:

Pump Date:

Service Address:

Gallons Collected

4.

Name:

Pump Date:

Service Address:

Gallons Collected

5.

Name:

Pump Date:

Service Address:

Gallons Collected

Disposal Location:

Carolina Compost

SWCD-29-10

588 Free Pilgrim Church Rd.

Thomasville, N.C. 27292

Phone: (336) 474-1436

Fax: (336) 474-1436

Disposal Date:*

Disposal Time:*

Time

:HoursMinutes

Gallons Discharged:*

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A&B Portfolio of Companies.

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