50 Pump Report 12-5-17 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#1-j t"/-L l0 MA License# Date of Pumping U CELL
033
Property Owner ALLEN BERKENWALD Address 50 CHAPEL STREET
Address 2
Home Phone (413) 320-5702 Address 3
Bus Phone City NORTHAMPTON
Cell Phone State MA Zip Code 01060
Total Volume: )500
O
Tank Size: 1500 GAL
Concrete
Good
Tank Location MAP ON FILE
Septic (✓Holding Tank �r 1 Leach Tank 1 Cesspool Grease Trap
1
1
Date of Previous Pumping, If Known: 3 11-��
Waste Received at Licensed Facility: r ' V� ��(��u.i
Licensed Facility Phone Number:
Town: cin4dC1
Misc Comments:
Driver:
Created 12/132017 at 10.50:53 AM
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