57 Pump Report 2019 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 DpAY�S`******
Permit# P� I(N MA License# Date of Pumping � 17s,
OD �'
Address 57 SOVEREIGN WAY
Property Owner RICHARD GEORGE Address 2
Home Phone (413)387-7078 Address 3
Bus Phone City FLORENCE
Cell Phone (413) 387-7078 State MA Zip
Code
\01062
Total Volume:
Tank Size: 1500 GAL
Concrete
Good
Tank Location MAP ON FILE
Septic ZHolding Tank Leach Tank Cesspool ❑ Grease Trap ❑
Date of Previous Pumping, If Known:
Waste Received at Licensed Facility: C-1 tor--1
Licensed Facility Phone Number:
Town:
Misc Comments:
Driver:
Created 6/26/2019 at 2:05:32 PM Page 1 of 1