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340 Septic Pumping Report 2006 System Pumping Report Greg's Wastewater Removal 239 A Greenfield Road South Deerfield, MA 01373 Phone 413-665-3969 Fax 413-665-7358 ****** This report will be sent to the BOARD OF HEALTH within 15 DAYS ****** Permit#.e,fr°zo i9_(267 MA License# Date of Pumping 0 36/09 Contact C.N. Home Phone Bus Phone Cell Phone JENNIE MATUSZEWSKI [1]413-584-2942 Address 340 CHESTERFIELD ROAD Address 2 Address 3 City LEEDS State MA Zip Code 01053 Total Volume: /Q00y01,67. Tank Size: 1000 GAL Concrete Good Tank Location MAP ON FILE - Septic ❑ Holding Tank ❑ Leach Tank ❑ Cesspool ❑ Grease Trap Date of Previous Pumping, If Known: 07-Q?-{ es/� Waste Received at Licensed Facility: fl Q eti (J � d J Licensed Facility Phone Number: d✓a -6) 700 Town: � 62jyy/7%fl Misc Comments: Driver: Created 10/1/2009 at 5:22 PM