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1156 System Pumping Report 2016 tern 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 ****** nit n7]t' MA License# Date of Pumping erty Owner MEGAN LYSTER le Phone Phone Phone (413)563-2947 Size: 1500 GALS Concrete Good Address 1156 WESTHAMPTON ROAD Address 2 Address 3 City FLORENCE State MA Zip Code 01062 Total Volume: 1 -CO ( ,, ik Location back yard, 10 ft from house-please draw map Septic ' '--Flolding Tank I[ Leach Tank Cesspool _ Grease Trap of Previous Pumping, If Known: e Received at Licensed Facility: wed Facility Phone Number: Comments: aNu<3 U Lv alc� er:r ed 8/3 012 01 6 at 3:56:19 PM Page 1 of 1