377 Septic Pumping Report 2016 System Pumping Report
Greg's Wastewater Removal
239 A Greenfield Road
South Deerfield,MA 01373
Phone 413-665-3989 Fax 413-665-7358
****** This report will be sent to the BOARD OF HEALTH within 15 DAYS •"•*"
Permit#80P tiri/s`-or 9 MA License# Date of Pumping % 17 //6,
Property Owner CHUONG DINH
Home Phone
Bus Phone
Cell Phone
(413)559-0942
Address
Address 2
Address 3
City
State
NORTHAMPTON
MA Zip Code 01060
Tank Size:
1500 GAL 2 COMP. W/FILTER
Concrete
Good
Tank Location MAP ON FILE
Septic I\4 Holding Tank
Leach Tank
Total Volume: /.57.)
Cesspool
Grease Trap
Date of Previous Pumping,If Known:
Waste Received at Licensed Facility.
Licensed Facility Phone Number:
Town:
Misc Comments:
722 �i2aS
Driver:
Created 1/72016
at 3:36:59 PM
Page 1 of 1