123 Title 5 Pumping Record 2010 System Pumping Report
Greg's Wastewater Removal
239 A Greenfield Road
South Deerfield, MA 01373
Phone 413-665-3989 Fax 413-665-7358
This
s report will be sent to the BOARD OF HEALTH within 15 DAYS ******
Permit#dvP�0-o20U9-07Y MA License# Date of Pumping 08103, /0
Property Owner NOONIE HAMMARLUND
Home Phone
Bus Phone
Cell Phone
Tank Size:
413-584-5887
1500 GAL
Concrete
Good
Address 123 MEADOW STREET
Address 2 MAIN HOUSE
Address 3
City FLORENCE
State MA Zip Code 01062
Total Volume: AS 00 ?O.
Tank Location MAP ON FILE (NORTH SIDE)
Septic )(Holding Tank Leach Tank ! Cesspool Grease Trap
Date of Previous Pumping, If Known:
Waste Received at Licensed Facility*
Licensed Facility Phone Number:
Town:
ariizict wafJn°
4/d d -x700
Misc Comments:
Driver:
Created 8/3/2010 at 437:58 PM
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