25 System Pumping Report 2016 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#. (DO MA License#
Property Owner ROCKRIDGE RETIREMENT
Home Phone
Bus Phone
Cell Phone
413-586-2902
413-695-1203
Date of Pumping yl / lip/ ((•,
Address 25 COLES MEADOW ROAD
Address 2
Address 3
City NORTHAMPTON
State MA Zip Code 01060
Tank Size:
1500 GAL
EJECTOR PUMP
1
Total Volume: 1 A
Tank Location ON RIGHT WHEN PULLING IN, 2 COVERS, MAP ON FILE
Septic FIX-biding Tank � '� Leach Tank Cesspool Grease Trap
Date of Previous Pumping, If Known:
Waste Received at Licensed Facility
Licensed Facility Phone Number:
Town:
n
Misc Comments:
Driver:
Created 9/16/2016 at 2:41:17 PM
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