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s £‘,(/ Jam' -L903r y k i �nLOHA f� '° / t'° ' tom `= z, INVOKE N0. 8600 SW Hillsboro Hwy., Hillsboro, OR 97123 , 4 t a 1 503-644-2797 • 503-648-6254 • 503-846-1951 (FAX) Www.alohasanitary.com * Erna' + info@alohasanitary.com f +i I NAME: . /+ ' "-`11 s ADDRESS: - I� CITY/S� C` ,4 1.1 C ZIP: HOME: j(/ WOR _____4/ /(//{CELL: t .JOB SITE: ���/ii /pe ` ll // 4,,'e 4/ PAID BY CHARG(I ;? CHECK ❑ / CASH ❑ CREDIT CARD ❑ DATE., /Z ....'Z-2..23/.i v DRIVER �\- t, / , n '�lta+rk'koa! AMOUNT 1) PUMP SEPTIC TANK> (3) -i, L r q ❑ INSPECTION FEE 6 ❑ SERVICE CALL ❑ LABBO3,_LOC.QTING, DlGGING,. CKFILL 17 -4- '4,- irge55 0* — \;_ C T - - TH/s Is NorA SEPTIC IC SYSTEM/NSPECT/ON REPORT- - TOTAL $ '� 'i" -------1.\---- t f6 . TYPE OF TANK: STEEL ❑ ONCRETE ❑ PLASTIC ❑ HOMEMADE ❑ HORIZONTAL ❑ RTICAL ❑ RECTANGLE ❑ U OTHER SIZE OF TANK: 350 ❑ 500 ❑ 50 ❑ /4000 ❑ 1250 ❑ 1500 0 2000 ❑ 3000 0 LID LOCATION: INLET ❑ OUTL 9/ MIDDLE ❑ ENTIRE TOP ❑ TANK CONDITION: GOOD LI FAIR POOR ❑ FITTINGS: BAFFLES ❑ Co ❑ CAST IRON ❑ PLASTIC ❑ tr,i• GROUND COVER OVER TANK I.2e, DEC ' ZO15 COMMENTS L4-4,64(ek-• C-iht-,1•/,',4 -- Customer Signature r l�✓. ;L ^' y G DATE/Z- _o/. s 5