1174 Pump Report 7-2020System 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 G1 J` 6 � I� MA License # Date of Pumping 1 6- /J o
c?co� P
Address 1174 FLORENCE ROAD
Property Owner JOHN FORTIER Address 2
Home Phone (413) 584-2062 Address 3
Bus Phone City FLORENCE
Cell Phone State MA Zip Code 01062
Total Volume: 1, IW
Tank Size: 1500 GAL
Concrete
Good
Tank Location
/
Septic 1/1 Holding Tank 7 Leach Tank [—] Cesspool D Grease Trap [:]
Date of Previous Pumping, If Known:
Waste Received at Licensed Facility:
Licensed Facility Phone Number: 5 W I Uci
Town:
Misc Comments:
Driver:
Created 8/11/2020 at 10:03:27 AM Page 1 of 1