336 Pump Report 2019 System Pumping Report
eg's Wastewater Removal
239 A Greenfield Road
South Deerfield,MA 01373
Phone 413665-3989 Fax 413-665-7358
****** This trreport will be sent to the BOARD OF HEALTH within 15 DAYS ******
Permit#pQW'7-C20 MA License# Date of Pumping I I I
l>u\V
Address 336 COLES MEADOW ROAD
Property Owner SCOTT HARLOW Address 2
Home Phone (413) 374-5326 Address 3
Bus Phone City NORTHAMPTON
Cell Phone State MA Zip Code 01060
Total Volume: St;
Tank Size: 1500 GAL 2 comp
Concrete
Good
Tank Location
Septic rvtHolding Tank Leach Tank Cesspool Grease Trap
Date of Previous Pumping,If Known:
Waste Received at Licensed Facility: C---1 L.)/r \ciJ/
Licensed Facility Phone Number: 1V1 S
Town:
Misc Comments:
Driver: A
Created 1/8/2019 at 12:57:03 PM Page 1 of 1