Report (20) ALOHA SANITARY
SERVICE
INVOICE NO.
8600 SW Hillsboro Hwy., Hillsboro, OR 97123 20062
503-644-2797 . 503-648-6254 • 503-846-1951 (FAX)
www.alohasanitary.com • Email: info@alohasanitary.com
NAME: 'PLM 020 16-- 00502_
ADDRESS: ; t•C,g. /1/ -% 7
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Cirl ZIP. Y �►
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JOB SITE: /`i/c'\() .,,,Z(--0,_-1/W://t-i' f ,.e 1--/ t(1_
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PAID BY CHARGE? CHECK U CASH ❑ CREDIT CARD U
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DATE /0 -/ --- 4// DRIVER islk) 7774fue4 liced AMOUNT
C PUMP SEPTIC TANKi/Lt
U INSPECTION FEE
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U SERVICE CALL
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❑ LABOR, LOCATING, DIGGING,BACKFILL '
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- - THIS ZS NorA SEPTIC SYSTEM/NSPECT/ON PORT- - TOTAL $ J 7'7 S
TYPE OF TANK: STEEL U C• CRET ❑ PLA' IC U HOMEMADE ❑
HORIZONTAL ❑ VER CAL U " CTANGLE U U OTHER
SIZE OF TANK: 350 U 500 ❑ 7 I ❑ 100 Li 1250 ❑ 1500 ❑ 2000 U 3000 ❑
LID LOCATION: INLET U OUTLET II MIDDLE U ENTIRE TOP ❑
TANK CONDITION: GOOD U FAIR U POOR U
FITTINGS: BAFFLES U CON• - \i CAST IRON ❑ PLASTIC ❑
GROUND COVER OVER TANK
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COMMENTS
X(%).-e'-,' ' 741 t)-660-04-,
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Customer Signature ( DATE / 6'