409 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 ******
p HEALTH within 15 DAYS
Permit# 0 MA License# Date of Pumping 19-1,0---i
C00,4
Address 409 NORTH KING STREET
Property Owner RIKK DESGRES Address 2
Home Phone (413) 584-6606 Address 3
Bus Phone City NORTHAMPTON
Cell Phone (413) 584-6200 State MA ,,Zip Code 01060
Total Volume:
Tank Size: 1000 GAL
Concrete
Good
Tank Location Owner has
Septic Holding Tank Leach Tank Cesspool Grease Trap ❑
Date of Previous Pumping, If Known: L Q I �I
Waste Received at Licensed Facility:
Licensed Facility Phone Number:
Town:
Misc Comments:
Driver:
Created 8/29/2019 at 2:13:38 PM Page 1 of 1