160 System Pumping Report 2016 item Pumping Report 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 ******
nit
MA License# Date of Pumping (p / 02/
Address 160 COLES MEADOW ROAD
terty Owner STACEY KORS Address 2
le Phone (802)275-2190 Address 3
Phone City NORTHAMPTON
Phone (802)275-2190 State MA Zip Code 01060
Total Volume:SaC
k Size:
1500 GAL
Concrete
Good
1k Location CUSTOMER HAS
Septic i' ding Tank Leach Tank Cesspool Grease Trap
of Previous Pumping,if Known:
to Received at Licensed Facility•
nsed Facility Phone Number:
n:
Comments:
Menj
er:
ted 6/22016 at 4:30:54 PM
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