340 System Pump Report 5-22-20System Pumping Report
Greg's Wastewater Removal
239 A Greenfield Road
South Deerfield, MA 01373
Phone 413-665-3989 Fax 413-665-7358
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****** This report will be sent to the BOARD OF HEALTH within 15 DAYS ******
Permit # Dy�j �t O7 ofMA License #
6 oo4.0
Property Owner JANE MALONEY
Home Phone 413-588-6819
Bus Phone
Cell Phone
Tank Size: 1000 GAL
Concrete
' ...
Tank Location MAP ON FILE
Date of Pumping a 11
Address 340 CHESTERFIELD ROAD
Address 2
Address 3
City LEEDS
State MA Zip Code 01053
Total Volume: i 00C)
Septic � Holding Tank [-] Leach Tank [-] Cesspool F-] Grease Trap
Date of Previous Pumping, If Known:
Waste Received at Licensed Facility:Venmo f /i
Licensed Facility Phone Number: S0,0\ m d by�
Town: I&C61-�i U -,bo U
Misc Comments:
Driver:
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