390 Title 5 Pumping Record 2008 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#&// ///)MC MA License# Date of Pumping e
Property Owner DANA PASQUALE
Home Phone
Bus Phone
Cell Phone
Tank Size:
413-584-2231
413-665-1131
1000 GAL
Concrete
Good
Address 390 NORTH FARMS ROAD
Address 2
Address 3
City FLORENCE
State MA Zip Code 01062
Total Volume
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Tank Location BACK YARD MAP ON FILE
Septic X Holding Tank Leach Tank Cesspool Grease Trap
Date of Previous Pumping, If Known: 0 7-o3- 0 �{�
Waste Received at Licensed Facility: *t {.dLLJi �r
Licensed Facility Phone Number: Z [� r�a 70V
Town: ✓ t/ �iL4 ✓‘",`—
Misc Comments:
Driver:
Created 08/29/2011
at 12:43'47 PM Page 1 of 1