235 Pump Report 5-1-18 System Pumping Report
Greg's Wastewater Removal
239A Greenfield Road
South Deerfield, MA 01373
Phone 413-665-3989 Fax 413-665-7358
****** This
r report will be sent to the BOARD OF HEALTH within 15 DAYS
LJ
Permit# S 'all- MA License# Date of Pumping y J/ / lc/
Address 235 MAPLE RIDGE ROAD
Property Owner LYNNE SANER Address 2
Home Phone 413-585-9241 Address 3
Bus Phone City FLORENCE
Cell Phone State MA Zip Code 01062
Total Volume: I JIJc
Tank Size: 1500 GAL
Concrete
Good
Tank Location MAP ON FILE
-
Septic Holding TankLeach Tank Cesspool Grease Trap �
Date of Previous Pumping,If Known: :9 aII \�/V[�,
Waste Received at Licensed Facility: V I \1L� J)
Licensed Facility Phone Number: 'V"1
V�,,
Town: 1 Y icnVUAu}
Misc Comments:
Driver:
Created 5/2/2018 at 10.19:33 AM Page 1 of 1