820 Title 5 Pumping Records 2015, 2010, 1995 GREG'S WASTEWATER REMOVAL
239A GREENFIELD ROAD - P. 0. BOX 197
SO. DEERFIELD, MA. 01373
413-665-3989
SYSTEM PUMPING REPORT
THIS REPORT WILL BE SENT TO BOARD OF HEALTH WITHIN 15 DAYS.
PERMIT NO S - S MA. LICENSE NO.
DATE OF PUMPING: Mi52 /� /9 %..6" �
HOMEOWNER NAME : ?, �, )6, ze-7/
HOMEOWNER ADDRESS : CP O N0. /i/Ai G j Ak,A°77-1/9-fiPo `mi
HOMEOWNER PHONE NO: 3-8 6, - %7 3 V
VOLUME PUMPED: CC 6-- 4 2 L a(1/
SYSTEM LOCATION: /- T/'I11�7 4mn * 0f AiuSP we Ague ceioslzunA
MATERIAL OF TANK CONSTRUCTION : conc. relic
SEPTIC W' CESSPOOL 0
SIZE : SCi0 6/9220, (
CONDITION OF TANK: Sean ' OK Are'4k Od>L 4a 17 c/
sysfrpt
DATE OF PREVIOUS PUMPING, IF KNOWN: : -aa- 9th
WASTE RECEIVED AT LICENSED FACILITY: n�'l///I/ G LUI4STG C(1,09,7- -/e
LICENSED FACILITY PHONE NO: 5-O47-SZ/L/ (3>4/r�.:7_j
TOWN: V/ Al(
stem 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 ******
rmit#R/ej'09-D-7�
MA License# Date of Pumping 7/ / ✓0
xperty Owner R.J. BARTLETT
'me Phone
is Phone
II Phone
413-586-9435
nk Size:
500 gal
CONCRETE
Fair
ank Location MAP ON BACK
Septic
Address 820 NORTH KING STREET
Address 2
Address 3
City NORTHAMPTON
State MA Zip Code 01060
Total Volume:
.`�l)0,a,
Holding Tank Leach Tank Cesspool Grease Trap
to of Previous Pumping, If Known: J/V 70 9
ste Received at Licensed Facility: L-(11--C)7t)
ensed Facility Phone Number: "d r - 2O6
vn:
is Comments:
ti Ai i I
fiver:
,ated 11/11/2010 at 2:57:22 PM
1
Page 1 of 1
(stem 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 ******
'ermit#(j d6/S''✓ac-9–?MA License# Date of Pumping/i�l3-//
Address -(1
Address 2
lome Phone 413-586-9435 Address 3
'pus Phone City NORTHAMPTON
ell Phone State MA Zip Code 01060
Total Volume: 6-00 9u-*"'
roperty Owner R.J.BARTLETT
ank Size:
500 GAL
Concrete
Fair
rank Location MAP ON BACK
Septic ^' Holding Tank Leach Tank Cesspool
ate of Previous Pumping,If Known:
aste Received at Licensed Facility•
censed Facility Phone Number:
)wn:
isc Comments:
river:
Grease Trap
//--//--/y
722nur'h Lc/ la/
77 ?-�d�s
eated 10/29/2015 at 4:26:22 PM
Page 1 of 1