103 Septic Pumping Record 2007 System Pumping Report 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#RVW 401\-0Lk05 MA License# Date of Pumping 7 / 2.E I
Address 103 DUNPHY DRIVE
Property Owner SONIVA PATEL Address 2
Home Phone 413-584-6790 Address 3
Bus Phone City FLORENCE
Cell Phone State MA Zip Code 01062
Total Volume: 1500 rta l
Tank Size:
1500 GAL
Concrete
Good
Tank Location MAP ON FILE"NEED 2 MEN TO PICK UP CEMENT SLAB""
Septic I,..$_ Holding Tank Leach Tank Cesspool Grease Trap
Date of Previous Pumping, If Known:
Waste Received at Licensed Facility:
Licensed Facility Phone Number:
Town:
Misc Comments:
1 vtnc' lnf.T?
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Driver:
Created 07/29/2011
at 9:22:44 AM
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