1156 Pumping Report 2019 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# 0 `1 D 1V MA License# Date of Pumping 9
C)Db`C
Address 1156 WESTHAMPTON ROAD
Property Owner MEGAN LYSTER Address 2
Home Phone (413)563-2947 Address 3
Bus Phone City FLORENCE
Cell Phone State MA Zip Code 01062
Total Volume: UD
Tank Size: 1500 GALS
Concrete
Good
Tank Location back yard, 10 ft from house-please draw map
Septic ff Holding Tank Leach Tank Cesspool Grease Trap
Date of Previous Pumping, If Known: S- 0DDI
Waste Received at Licensed Facility:
Licensed Facility Phone Number:
Town:
Misc Comments:
Driver: '
Created 5/29/2019 at 12:02:27 PM Page 1 of 1