651 pumping report System Pumping Report
Greg's Wastewater Removal
239 A Greenfield Road
South Deerfield,MA 01373
Phone 413-665-3989 Fax 413665-7358
****** ThisU'3,rneportr �/�/5 will be sent to the BOARD OF HEALTH within 15 DAYS ******/
Permit#. UU d- r) MA License# Date of Pumping I CD
0(X)k u
Address 651 FLORENCE ROAD
Property Owner ANDREW MORINI Address 2
Home Phone (413)230-7157 Address 3
Bus Phone City FLORENCE
Cell Phone State MA Zip Code 01062
Total Volume: f V
Tank Size: 1500 GAL
Concrete 2 COMP
Good
Tank Location FRONT YARD
Septic ti✓ Holding Tank L Leach Tank 1 Cesspool �1 Grease Trap '.i 1
Date of Previous Pumping, If Known: < I \j \ `� \ _
Waste Received at Licensed Facility: X1`1 S�'CO -
Licensed Facility Phone Number: �`� 9:1-1-00
Town: C AI\J' 4N]
Misc Comments:
Driver:'. - -
Created 5/24/2018 at 3:02.07 PM Page 1 of 1