798 Title 5 Pumping Records 2015 item Pumping Report 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
.mit#$HP"Z01S-0223 MA License# Date of Pumping 3 12 I /5
Address 798 NORTH KING STREET
'party Owner MIKE CYCZ Address 2
me Phone 413-584-4974 Address 3
s Phone City NORTHAMPTON
II Phone State MA Zip Code 01060
nk Size:
'ank Location
1500 GAL WI FILTER
Concrete
Good
Total Volume: 1200 Gµ
Septic '�. , Holding Tank Leach Tank
k Cesspool Grease Trap
ate of Previous Pumping, If Known: 7 - rte} ^fin,=�,g}
caste Received at Licensed Facility: — i" 4 jt
icensed Facility Phone Number: —
11 3 =8_136 S-
own: — `^— ak PQ
lisc Comments:
Driver:
Created 03/02/2015
at 2:40:51 PM
Page 1 of 1
item Pumping Report ,awaatawaterRem a al
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 ******
mit# M?"9615'0223 MA License# Date of Pumping 61097'/165
perry Owner MIKE CYCZ
me Phone
s Phone
II Phone
nk Size:
413-584-4974
ank Location
1500 GAL W/FILTER
Concrete
Good
Address
Address 2
Address 3
City
State
NORTHAMPTON
MA Zip Code 01060
Total Volume: 600 G-\
Septic A Holding Tank Leach Tank Cesspool Grease Trap
de of Previous Pumping, If Known: _3-2-/ Ta
este Received at Licensed Facility: £rJcLny
censed Facility Phone Number:
own: -
list Comments:
y22 - ZtCo
Created 6/24/2015
at 1:54:48 PM
Page 1 of 1