390 Pump Report 4-27-18 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# POMALicense# Date of Pumping /2.,q/
D PL.)-'Zo1T h octv
Address 390 NORTH FARMS ROAD
Property Owner DANA PASQUALE Address 2
Home Phone 413-727-8677 Address 3
Bus Phone City FLORENCE
Cell Phone State MA Zip Code 01062
Total Volume: ja) .__
Tank Size: 1000 GAL
Concrete
Good
Tank Location BACK YARDMAP ON FILE
Septic /Holding Tank i l Leach Tank Cesspool Grease Trap
Date of Previous Pumping, If Known: 9 I 1 C I JL
Waste Received at Licensed Facility: m 1� \ \.). QCf t t
Licensed Facility Phone Number: -1T3- S 6Cr5
Town: �p-{� /� ,( A
Misc Comments:
Driver:
Created 4/30/2018 at 3'10:49 PM Page 1 of 1