50 Pump Report 10-2020System 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 # ))TW �n G MA License #
0001
Property Owner ALLEN BERKENWALD
Home Phone (413) 320-5702
Bus Phone
Cell Phone
Tank Size: 1500 GAL
Concrete
Good
Tank Location MAP ON FILE
Date of Pumping -LU) l) �� 130
Address
Address 2
Address 3
City
State
50 CHAPEL STREET
NORTHAMPTON
MA Zip Code 01060
Total Volume: S13 D
Septic [ZHolding Tank E Leach Tank 0 Cesspool ❑ Grease Trap
Date of Previous Pumping, If Known:
Waste Received at Licensed Facility:
Licensed Facility Phone Number:
Town:
Misc Comments:
Driver:
L'i i �- aog- I
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