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Report (61) qCT RE•ENTIAL SEPTIC SERVICE Page 1 of 1 ;'River City Environmental, Inc. Work Order # 0000171026 P.O. Box 30087 Portland, OR 97294 Scheduled 3/11/2019 Phone: (503)252-6144 PL/? g D/ ©O O 7 3 Route: SEPONCALL Salem: (503) 363-2464 l't -k,(Ni V\lXk �`#- . Requested 3/8/2019 12:06:54PM Vancouver: (360) 896-5256 Requested By Jeremey Time Window 12:00 PM - 5:00 PM Account#- Site # 011434 - 0008 Arrival Time: 'f -t7-1- JA Depart Time: Black Rock Underground s . , 267 NE 34th PI ..,�., �` � � r<< Hillsboro,OR 97124 Black Rock Underground (503) 747-9312 11320 SW Walnut St Tigard, OR 97223-4035 Status Active- Net 10 Days PO # Contact: Jeremy (503) 713-8282 Type Description Units CRSS 1SEPINS INSPECTION 1 1SEPLOC LOCATE, UNCOVER&RECOVER TANK 1SEPOVG SEPTIC OVER 1,000 GALLONS 1SEPPUMP SEPTIC SERVICE FIRST 1,000 GALLONS 1 Work Order Notes: Later appointment if possible. Onsite contact is Jeremy 503-713-8282. Please pump septic tank. Notes from driver: , TERM AND CONDITIONS THE RIGHT TO LIEN River City Environmental,Inc. is in no way responsible for damage to any vehicle, personal or real property. Term: Net 10 Days. 1.5%per month will be charged on past due accounts(18%annum). The customer agrees to pay all invoices arising out of services,and any special services herein within 10 days. The customer agrees to pay such extra and overtime charges as may be invoiced from time to time for services rendered, over and above the normal servicing schedule,on behalf of the customer. The customer agrees to assume responsibility for damage to customer's real or personal property arising from services which take place on customer's premises,where the drivers and vehicles of River City Environmental, Inc. have been instructed to enter. This includes, but not limited to driveways,trees, power lines or poles and building structures. If River City Environmental finds it necessary to add liquid to tank on jobsite,customer will be charged for the additional gallonage resulting from these conditions. Customer agrees to reimburse River City Environmental for all reasonable attorney's fees court costs and other expense incurred by said company to enforce collection or to serve their rights under this agreement. If this work order is not contested in writing within 10 days the full amount is considered due and payable. Customer agrees to the above conditions. A fax of the work order is considered an original. Redeemable in Multnomah County Oregon CCB# 147355 Washington CCB# RIVERCE981BT DRIVER SIGNATURE DATE CUSTOMER SIGNATURE DATE TECHNICIAN SIGNATURE DATE Date Printed:3/8/2019 12:09:52PM