80 Pump Report 12-13-17 System Pumping Reportr
GegaWastewater 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
22*****"'
Permit#®hp-JOe MA License# Date of Pumping)(1\/ 1 / C-
03/-)3
Address 80 DUNPHY DRIVE
Property Owner ED ACUS Address 2
Home Phone 413-587-0975 Address 3
Bus Phone City FLORENCE
Cell Phone State MA Zip Code 01062
Total Volume: 1 (' NCO
Tank Size: 1200 GAL
Concrete
Good
Tank Location MAP ON FILE
Septic - I Holding Tank 7 Leach Tank L-iI Cesspool f Grease Trap fl
Date of Previous Pumping, If Known: \a\s \ L/\
Waste Received at Licensed Facility: , I\U 119r
Licensed Facility Phone Number: `�
Town: '010�-\-(Act
Misc Comments:
Driver:
Created 12/14/2017 at 10:27:57 AM Page 1 of 1