32 Septic Pumping Report 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#,V!P-.160q-UI y0 MA License#
Contact
C.N.
Home Phone
Bus Phone
Cell Phone
KATHY RICHARDSON
[1]413-584-2741
Date of Pumping I I ( I 09
Address 32 DUNPHY DRIVE
Address 2
Address 3
City FLORENCE
State MA Zip Code 01062
Tank Size:
1500 GAL
Concrete
Good
Total Volume: 15CC onS
Tank Location MAP ON FILE
® Septic ❑ Holding Tank ❑ Leach Tank ❑ Cesspool ❑ Grease Trap
Date of Previous Pumping, If Known: 8 y oC0
Waste Received at Licensed Facility: t ru
Licensed Facility Phone Number: � r% -r)ICX:
Town: ri0 fen(C
Misc Comments:
Driver: zl
Created 9/5/2009 at 8'.18 AM 6