820 System Pumping Record 2016 System Pumping Report,aWastewater Removal
239 A Greenfield Road
South Deerfield,MA 01373
Phone 413-665-3989 Fax 413665-7358
****** This report will be sent to the BOARD OF HEALTH within 15 DAYS ******
Permit HP
MA License# Date of Pumping I I 1"
Address 820 NORTH KING STREET
Property Owner R.J.BARTLETT Address 2
Home Phone 413-586-9435 Address 3
Bus Phone City NORTHAMPTON
Cell Phone State MA Zip Code 01060
Tank Size:
500 GAL
Concrete
Fair
Total Volume:
Tank Location MAP ON BACK
Septic I Holding Tank Leach Tank I Cesspool 't Grease Trap l
Date of Previous Pumping, If Known: ID-51445
M
Waste Received at Licensed Facility. ' 1\r71., �c�ar5
Licensed Facility Phone Number: �—.c
Town: (`C\Crrl -Arn
Misc Comments: c,
Driver:
Created 11/8/2016
at 3:29'18 PM
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