411 System Pumping Record 2012 stem 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 ******
.rmit# AtIP-9015'6723 MA License# Date of Pumping 7 /2 el/ /S
Address
operty Owner GEORGE MARTIN Address 2
ime Phone 413-585-0195 Address 3
is Phone City
II Phone 413-364-2756 State
nk Size:
1500 GAL
Concrete
Good
FLORENCE
MA
Zip Code 01062
Total Volume: 1$00 (xr..,
ank Location SKETCH ON FILE
Septic %( Holding Tank Leach Tank Cesspool Grease Trap
to of Previous Pumping, If Known: 3 2- 12
iste Received at Licensed Facility: Mnr -Twat e_
ensed Facility Phone Number: 11 3 - SgGO S
Nn: +
fc Comments:
fiver: 7 a
fated 7/24/2015 at 9:38:09 AM
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