446 Pump Report 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 # W / 0R MA License # Date of Pumping 11 /Li:�>
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Address 446 CHESTERFIELD ROAD
Property Owner ANNE FERGESON Address 2
Home Phone (413) 548-4254 Address 3
Bus Phone City LEEDS
Cell Phone State MA ZipCode01053
Total Volume: 00
Tank Size: 1000 GAL
Concrete
Tank Location
Good
Septic Holding Tank ❑ Leach Tank F-] Cesspool ❑ Grease Trap ❑
Date of Previous Pumping, If Known: UVII.Nu N 1
Waste Received at Licensed Facility:
Licensed Facility Phone Number:
Town
Misc Comments:
Driver:
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