565 Septic Pumping Report 2015 System Pumping Report
Greg's Wastewater Removal
239 A Greenfield Road
South Deerfield,MA 01373
Phone 413665-3989 Fax 413665-7358
**"*** This report will be sent to the BOARD OF HEALTH within 15 DAYS ******
Permit#11'i40/j U,2.9-? MA License# Date of Pumping 3/ /011 /C
Property Owner BRUCE 8 JOYCE ROTH
Home Phone
Bus Phone
Cell Phone
Tank Size:
413-585-9023
413-210-8962
500 GAL
Concrete
Good
Tank Location MAP ON FILE
Septic
Holding Tank
Date of Previous Pumping,If Known:
Waste Received at Licensed Facility
Licensed Facility Phone Number:
Town:
Address
Address 2
Address 3
City
State
Leach Tank
NORTHAMPTON
MA Zip Code 01060
Total Volume:
Cesspool
Grease Trap
09-c,2Q-//
inen<7 ELI% /diilwo
Misc Comments:
/ 2t4
Created 5/13/2015
at 11:42:37 AM
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