Report (22)83
R PLM 20l?- 0031,,
Ticket #
Date -7-17
2
5111 85th AVE.owstmw
Bldg C Suite PUYALLUP, WA 98371
PHONE 253-926-5586 FAX 253-926-5555 t
DRAINI*935NC
Customer Name An&P10
_
AA Site Contact Phone # _
Site Address 1�t 7 �'�
r 1�,o.Wr_C� it] I City State Zip Z?3
Payment: S/B Check # Cash Credit Card # Exp.
Mailing Address
City State Zip
Drain cleaning:
TECH
LABOR
TRUCK #
START TIME
ON SITE TIME
OFF SITE
DISPOSAL IN
DISPOSAL -
Jetting Hrs
TIME
OUT
Camera Hrs
•0
Z
S7
Drain Cleaning Hrs
Description of Work Performed
Hr
Unit
Total
Locator Pill #
Price
Amount
Septic Tank Pumping:
- ��,+ --3�` �-�.�. Zvi'!-•-_
_ -
-
_---___.. __.
Tank Liquid Level
❑ Normal ❑ High ❑ Low
Locate/Dig Hrs
Start Inches
Stop Inches
- .-
A Ae-
% _ -75 Urllir.ie_ fqt k, fes,_!'
Septic Tank Info:
-
Sludge / Scum
1 1st Comp.r--
2nd Comp.
Pump Chamber
__. _ _ . _. _..._. _ . _._ .'._..__.. -_.
-------
Tank
Tank Size
_
Gallons Pumped
Baffles Intact I -Yes ❑ No
Inches / Minutes
Draw Down_
---_—__--
Timer On
Timer Off
Counter
AT U
Riser Needed ❑Yes [-]No
�- __..___ ____. _�__ __ �_- __:_ _ __� __._
TV:
-
rs
Push Camera Hrs—
Main
Main Line Hrs
Lateral Launch Hrs
Mud Master Hrs
Additional work needed ❑ Yes O No
Locating
Drawing/Additional work info
Sub -Total
Total Feet
Tax
DVD # VHS #
Total
ET:
Type 1# Type II#
Terms: Net 10 days.
Storm System—O/W
1 1/2 % Per month
Pond Sewer
delinquency charge on
past due accounts.
Hydro -Ex Jetting
ADS Used 'Yes [-]No
ADS Left on site ❑Yes ❑ No
Disposal On Site
Customer Signature:.
t Date: