Report (104) airSPEEDY SEPTIC DATE START/STOP TIME
setting a higher standard EMPLOYEE
SALES ORDER#
P.O.BOX 1260 28128 SE HWY 212 Boring,OR 97009
PH: 503.663.2807 FAX: 503.663.9712 LIST OF MACHINERY&HOURS USED
SpeedySepticService.com --
DSCHEDULED❑SAME DAY DEMERGENCY
NAME
ADDRESS/PHONE#
WORK DONE
DY ON HOME ON MARKET?
%OF SOLIDS
ODS ODCS AUTHORIZING SIGNATURE
Speedy Septic has not been retained to warranty,guarantee,or certify the proper functioning of the system for any period of time in the future and as such;Speedy Septic
DISCLAIMS ANY WARRANTY either expressed or implied,arising from the servicing of the septic system.
L-�,. standards
require the selected items to be:
1. Pumped by a licensed sewage disposal pumping service to remove
all septage.
Pumped only: Wgc (Initial) ?wt..* Rete_', Pt �r (n; cane l�
Sei*;L aut (944- 5.� v ►ew f r.
OR .eryv•;{- * PLMOt8 -00353
2. Pumped and filled with reject sand, bar run gravel or other
material acceptable to the county in which the property resides
OR the tank must be removed and properly disposed of.
Pumped and filled: (Initial) Removed: (Initial)
The septage was pumped by: Speedy Septic
Signature: Date:
Speedy Septic Service — PO Box 1260 — Boring, OR— 97009
P. 503.663.2807— F. 503.663.9712