119 Title 5 Pumping Record 2015 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# t3HP-7015--02J3 MA License# Date of Pumping C / I3/ I5
Property Owner NOONIE HAMMARLUND
Home Phone
Bus Phone
Cell Phone
413-584-5887
Tank Size:
1000 GAL
Concrete
Good
Tank Location MAP ON FILE (WEST SIDE)
Address
Address 2
Address 3
RENTAL
City FLORENCE
State MA Zip Code 01062
Total Volume: / 00Q C-rmi
Septic N. Holding Tank Leach Tank Cesspool Grease Trap
Date of Previous Pumping,If Known:
Waste Received at Licensed Facility:
Licensed Facility Phone Number:
Town:
9- 13 -/3
0"1 Qrcic`ct
-1-73 - ggo\i
Miss Comments:
Driver:
f ,Lf
Created 6/1/2015 at 2:06:07 PM Page 1 of 1