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k i - . ,,,,t 79? LOHA A ITAR� SERVICE 1 , 8600 SW Hillsboro Hwy., Hillsboro, OR 97123 INVOICE Na, 503-644-2797 . 503-648-6254 • 503-846-1951 (FAX) Air www.alohasanitary.com * Erna' ; info@alohasanitary.com2..: G / , NAME: .. -i�f.+-.' '( "4 " ,i ° r/ ADDRESS: ! J \ / F • CrnY: 6V ,./14'7.. C ZIP: HOME: WOR : ELL: do 6- .JOB SITE:7/ � � _ , Q. PAID BY CHARGt CHECK ❑ f j CASH ❑ CREDIT CARD ❑ DATE ./2 _ /5`.-c�/i s )DRIVER --fin / /y "Net 'oa! AMOUNT PUMP SEPTIC TANK> ( f rf ) 7" ❑ INSPECTION FEE U J ❑ SERVICE CALL7 ! ❑ LABO5,-L-OGATING,DIGGING,B KFILL Y csd,,,,,/,._,„6„ ,- , v C ._____ - - THIS Is NOT A SEPTIC SYSTEM INSPECT/ON REPORT- - TOTAL $ '7726 , . TYPE OF TANK: STEEL ❑ \ ONCRETE CIPLAS�❑ HOMEMADE ❑ HORIZONTAL ❑ RTICAL ❑ RECTANGLE ❑ ❑ OTHER / SIZE OF TANK: 350 CI500 CI50 ❑ /1"000 ❑ 1250 ❑ 1500 0 2000 ❑ 3000 ❑ LID LOCATION: INLET ❑ OUTL 0/ MIDDLE CI ENTIRE TOP CI TANK CONDITION: GOOD CI FAIR / POOR ❑ FITTINGS: BAFFLES ❑ CO CRET ❑ CAST IRON ❑ PLASTIC ❑ it GROUND COVER OVER TANK _E D�l ZOi5 COMMENTS 1 6 1,4 / .._, ----ihe,,,,,,A, f Customer Signature / e • 1} / ,y-)i, e r5 'i__✓,/, -2,`i.-._- I .i._7. ;,' --- DATE/2.— _764/77