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856 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� MA License# Date of Pumping_ /,/-A 1. 00pq i Address 856 BURTS PITT ROAD Property Owner BENJAMIN BRAUDE Address 2 i Home Phone 413-586-3048 ; Address 3 Bus Phone City FLORENCE Cell Phone (413)695-2938 State MA Zip Code 01062 j Total Volume: Tank Size: 1500 GAL Concrete Good Tank Location MAP ON FILE Septic allo Iding Tank ❑ Leach Tank Cesspool Grease Trap Date of Previous Pumping, If Known: - U 11-6 1 Waste Received at Licensed Facility: In fW" Licensed Facility Phone Number: Town: Misc Comments: Driver: Created 8/29/2019 at 12:11:11 PM Page 1 of 1