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N_11-/c>9-o 1 C —oo /Dq ALOHA SANITARY SERV'CE INVOICE NO. 8600 SW Hillsboro Hwy., Hillsboro, OR 97123 503-644-2797 . 503-648-6254 • 503-846-1951 (FAX) b www.alohasanitary.com * Email: info@alohasanitary.com NAME: ,J / '�-"- �.CL i L T /'14'& — S' ADDRESS: CITY: ZIP: HOME: WORK: CELL: 7a1-7— F--er 9' JOB SITE: ? :.'�a s• ZJ. `-7i ,9 ‘,)did S'/ , P.C.#: %r.,,i,', PAID BY C GE CHECK ❑ CASH ❑ CREDIT CARD ❑ DATE , 7 -- -- �, DRIVER /�� ��' 76:4(4 itou! AMOUNT PUMP SEPTIC TANK S,� r ❑ INSPECTION FEE ❑ SERVICE CALL ❑ LABOR,LOCATING, DIGGING, BACKFILL ,__�-ry R 151.0. z TOTAL Z,S-- 6'6 - - TH/S/s /IOTA SEPT/C SYSTEM INSPECT/ON REPORT- - TYPE OF TANK: STEEL ❑ CONCRETE ❑ PLASTIC ❑ HOMEMADE ❑ HORIZONTAL ❑ VERTICAL ❑ RECTANGLE ❑ ❑ OTHER SIZE OF TANK: 350 ❑ 500 ❑ 750 ❑ 1000 ❑ 1250 ❑ 1500 ❑ 2000 ❑ 3000 ❑ LID LOCATION: INLET ❑ OUTLET LI MIDDLE ❑ ENTIRE TOP ❑ TANK CONDITION: �GOOD ❑ FAIR ❑ POOR U B FITTINGS: - AFOOFLES U CONCRETE ❑ CAST IRON ❑ PLASTIC ❑ 7 //m/J- . GROUND COVER OVER TANK COMMENTS Customer Signature % �% � :` DATE 7 v/6-