218 Septic Pumping Report 5/27/10 System Pumping Report
Greg's Wastewater Removal
239 A Greenfield Road
South Deerfield,MA 01373
Phone 413-665-3989 Fax 413665-7358
****** This report will be sent to the BOARD OF HEALTH within 15 DAYS ******n*
Permit#BHPo2L09-07YMA License# Date of Pumping?c2,
Address 218 AUDUBON ROAD
Property Owner KATHY MAIEWSKI Address 2
Home Phone 413-585-1065 Address 3
Bus Phone 413-584-5555 City LEEDS
Cell Phone State MA
Tank Size:
1500 GAL
Concrete
Good
Tank Location MAP ON FILE
Septic
Holding Tank
Date of Previous Pumping, If Known:
Waste Received at Licensed Facility:
Licensed Facility Phone Number:
Town:
Misc Comments:
Total Volume:
Zip Code 01053
Leach Tank I Cesspool Grease Trap
C(1217;190 w Lv /7
4laa - a 200
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Driver:
Created 6/14/2010
at 3:24:34 PM Page 1 of 1