668 Title 5 Pumping Record 2009 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#%SN/0009-0/r/0 MA License# Date of Pumping/9 1 ,O/p
Contact
C.N.
Home Phone
Bus Phone
Cell Phone
ROBERT SILLERMAN
[1]802-380-7581
Address 668 NORTH FARMS ROAD
Address 2
Address 3
City FLORENCE
State MA Zip Code 01062
Tank Size:
1500 GAL W/FILTER
Concrete
Good
Total Volume: /57) UQ9 a.4
Tank Location Owner has
CZ Septic ❑ Holding Tank ❑ Leach Tank ❑ Cesspool ❑ Grease Trap
Date of Previous Pumping, If Known:
Waste Received at Licensed Facility: an, /2<-L7f/
Licensed Facility Phone Number: j - 9700
Town: 4�/6147/a !9
Misc Comments: �j
Driver:
z/9 fr
Created 12/31/2009 at 12:39 PM
1