245 Title 5 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
armit#eNi'-au&ri-d/t/4 MA License# Date of Pumping // ,63/09
1.M F. L ROBERTS
ome Phone
us Phone
all Phone
[1]413-731-9611
[1]413-531-5328
Address 245 NORTH KING STREET
Address 2 JIFFY LUBE
Address 3
City NORTHAMPTON
State MA Zip Code 01060
Ink Size:
500 GAL GRIND PUMP
Concrete
Good
-ank Location
Septic ❑ Holding Tank
ate of Previous Pumping, If Known:
'este Received at Licensed Facility:
censed Facility Phone Number:
own:
Total Volume: / d oo yaA
Leach Tank ❑ Cesspool ❑ Grease Trap
e
uaa -a700
isc Comments:
/river:
'treated 11/4/2009 at 4'.28 PM
1
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 ******
rrmit#f /{/'-c2 &9-d/V/O MA License# Date of Pumping/3 1.3/ /o2
ntact
N.
1me Phone
1s Phone
dl Phone
F. L ROBERTS Address 245 NORTH KING STREET
Address 2 JIFFY LUBE
[1]413-731-9611 Address 3
City NORTHAMPTON
[1]413-531-5328 State MA Zip Code 01060
nk Size:
ank Location
500 GAL GRIND PUMP
Concrete
Good
Total Volume: 1/4_5-DO
MSeptic ❑ Holding Tank ❑ Leach Tank ❑ Cesspool ❑ Grease Trap
//-03-09
rte of Previous Pumping, If Known:
aste Received at Licensed Facility:
sensed Facility Phone Number:
iwn:
(C12Lrirty (Ai W T/°
ya � -,; 7oc)
0
kvut
sc Comments:
river:
reated 12/31/2009 at 12:28 PM