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409 Title 5 Pumping Record 2010 rstem Pumping Report Greg's Wastewater Removal 239 A Greenfield Road South Deerfield, MA 01373 Phone 413665-3989 Fax 413-665-7358 " This report will be sent to the BOARD OF HEALTH within 15 DAYS ermit# 131-02-Z(1-9- Cl hi MA License# Date of Pumping 7 1 ZI i 10 roperty Owner RIKK DESGRES ome Phone us Phone ell Phone ink Size: (413)584-6606 1000 GAL Concrete Good Address 409 NO. KING STREET Address 2 Address 3 City NORTHAMPTON State MA Zip Code 01060 Total Volume: /OCR, Ga I rank Location Owner has Septic X Holding Tank Leach Tank Cesspool Grease Trap te of Previous Pumping, If Known: este Received at Licensed Facility: Lrvir3 wt^/TP censed Facility Phone Number: 422 - 2700 iwn: A/c rf k 3 nip-1-n-� isc Comments: river: 7 A reated 7122/2010 at 8:38.00 AM Page 1 of 1