Loading...
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 V IA ) d � 177a ( (.G'Ln of� GtJ a-L�J� O l Oa Driver: Created 12/11/2009 at 12:58 PM 1