172 Pump 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# 1<6,- MA License# Date of Pumping 0 / /
Address 172 NORTH FARMS ROAD
Property Owner STEPHEN PETEGORSKY Address 2
Home Phone 413-584-0999 Address 3
Bus Phone City FLORENCE
Cell Phone State MA Zip Code 01062
Total Volume: I ulJ
Tank Size: 1500 GAL 2 COMP
Concrete W/FILTER
Good
Tank Location
Septic Holding Tank Leach Tank Cesspool Grease Trap
Date of Previous Pumping, If Known:
Waste Received at Licensed Facility:
Licensed Facility Phone Number:
Town:
Misc Comments:
Driver:
Created 8/20/2019 at 1:29:36 PM Page 1 of 1