206 Pumping Report System Pumping Report
Greg's Wastewater Removal
239 A Greenfield Road
South Deerfield,MA 01373
Phone 413-665-3989 Fax 413-665-7358
This
,,��preport
,,��will be sent to the BOARD OF HEALTH within 15 DAYS
Permit#7 )fh1loIR ' MA License# Date of Pumping /5 / I V
0000
Address 206 COLES MEADOW ROAD
Property Owner DEBORAH JOHNSON Address 2
Home Phone 413-586-2412 Address 3
Bus Phone 413-773-8660 City NORTHAMPTON
Cell Phone State MA Zip Code 01060
Total Volume: I Soc
Tank Size: 1500 GAL
Concrete
Good
Tank Location
Septic Holding Tank� Leach Tank Cesspool Grease Trap
Date of Previous Pumping, If Known: Ina
yLP I I H
Waste Received at Licensed Facility: 1 t 1 `�1 ' �
Licensed Facility Phone Number:
Town:
Misc Comments:
Driver:
Created 11/7/2018 at 11:24:21 AM Page 1 of 1