57 Septic Pumping Record 2009 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 HEALTH within 15 DAYS ******
Permit#R/49-.)069-0)510 MA License# Date of Pumping /�l /Oi 0 7
Contact
C.N.
Home Phone
Bus Phone
Cell Phone
LAURA CUMMINGS
[1] 508-280-0079
Address 57 AUTUMN DRIVE
Address 2
Address 3
City FLORENCE
State MA Zip Code 01062
Tank Size:
1500 GAL /OOOOS.
Concrete /�7����,,�,,�0
Good �-
Total Volume: SO00 fiat •
Tank Location...,(IN BACK YARD
soSeptic ❑ Holding Tank ❑ Leach Tank ❑ Cesspool ❑ Grease Trap
Date of Previous Pumping, If Known: ,"", ```�'' ,,�,,,"", //��1 t�1
Waste Received at Licensed Facility: C )/r'1w,,rty W w��°
Licensed Facility Phone Number: /� 1%C�`c7 -J� 700
Town: ) 4t 0i7M � �--
Misc Comments: 3 CL2 l(-kd � Aroyl..e/ .6 ��'-y/!/)'>'1�,7
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Driver:
Created 12/11/2009 at 12:58 PM
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