235 Pump Report 9-2020System 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 #2LQ - MA License #
Property Owner LYNNE SANER
Home Phone 413-585-9241
Bus Phone
Cell Phone
Tank Size:
1500 GAL
Concrete
Good
Tank Location MAP ON FILE
Date of Pumping I d —
Address 235 MAPLE RIDGE ROAD
Address 2
Address 3
City FLORENCE
State MA Zip Code 01062
Total Volume:
Septic [-':�Ii Holding Tank [:]Leach Tank F]Cesspool 1-1 Grease Trap ❑
Date of Previous Pumping, If Known:
Waste Received at Licensed Facility:
Licensed Facility Phone Number:
Town
Misc Comments:
Driver:
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Created 9/9/2020 at 10:45:59 AM Page 1 of 1