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ALOHA SANITARY SERVICE <54)I 61o�°e41
INVOICE NO
8600 SW Hillsboro Hwy. Hillsboro, OR 97123
503 -644 -2797 • 503 - 648 -625
NAME: V / �,// f `✓ �� /!
ADDRESS:
CITY: STATE: ZIP:
HOME: �?a>. WORK: CELL: 47- .Y 73 l
JOB SITE: //46.3 / �y .r. . / !� / P.o. #:
PAID BY CHARGE ❑ CHECK ❑ CASH ❑ CREDIT CARD
DATE 5 ,•i Q DRIVER/) q A 74,1041/0a/ AMOUNT
, . ' PUMP SEPTIC TANK GI 9 de
❑ INSPECTION FEE
❑ SERVICE CALL
❑ LABOR, LOCATING, DIGGING, BACKFILL
- THIS IS-lor A SEPTIC SYSTEM INSPECTION REPORT - - TOTAL $ ��,g�-' a16
- - REMARKS - -
TYPE OF TANK: STEEL ❑ CONCRETE ❑ PLASTIC ❑ HOMEMADE ❑
HORIZONTAL ❑ VERTICAL ❑ RECTANGLE ❑ D. OTHER
SIZE OF TANK: 350 ❑ 500 ❑ 750 ❑ 1000 ❑,..- -1`250 ❑ 1500 ❑ 2000 ❑ 3000 ❑
LID LOCATION: INLET ❑ OUTLET MIDDLE ❑ ENTIRE TOP ❑
TANK CONDITION: GOOD ❑ AIR ❑ POOR ❑
FITTINGS: BAFFLES C CONCRETE ❑ CAST IRON ❑ PLASTIC ❑
NEEDS NEW LID? YES' SIZE
GROUND COVER'O R TANK
COMMENTS ON CONDITION OF DRAINFIELD ETC.
SIGNED BY DATE