Correspondence (527) z
4 ' Lb H n 1T :Y '��: VI ,
INVOICE NO.
8600 SW Hillsboro Hwy., Hillsboro, OR 97123 8377
503 -644 -2797 503 -648 -6254 • 503 - 639 -5188
1n , {
NAME: 14 a Ue6 vtc-V1 e -k u, K r t v
'
ADDRESS:
CITY: STATE: ZIP: �) C
HOME: WORK: CELL: C( " 6- 5133
JOB SITE: 1 Z 7 03 .? . 0N� ( p 1 Q\ >� P �J C. #: Q ill
PAID BY CHARG4 CHECK ❑ CASH ❑ CREDIT CARD ❑
DATE DRIVER 7lr /
a+�- � ��� � AMOUNT .
PUMP SEPTIC TANK ZOO /
❑ LINE OPENING
❑ .INSPECTION FEE
❑ SERVICE CALL
❑ LABOR, LOCATING, DIGGING, BACKFILL
_❑ - MATERIAL
�+ ' TOTAL $. Z QO "--
- - THIS IS NOT A SEPTIC SYSTEM INSPECTION REPORT -
- - REMARKS - -
TYPE OF TANK: STEEL ❑ CONCRETE ❑ PLASTIC ❑ HOMEMADE ❑
HORIZONTAL ❑ VERTICAL ❑ RECTANGLE ❑ ❑ OTHE
SIZE OF TANK: 350 • 500 ❑ 750 ❑ 1000 ❑ 1250 • 00 ❑ 2000 ❑ 3000 ❑
LID LOCATIO INLET ❑ OUTLET ❑ MIDD - ENTIRE TOP ❑
TANK CONDITION: GOOD ❑ FAIR " OOR ❑
FITTINGS, BAFFLES ❑ CO - - TE II CAST IRON ❑ PLASTIC ❑
i
NEEDS EW LID? YES ❑ SIZE
GROUN COVER OVE: .NK ��,
COMMENTS • ONDITION OF DRAINFIELD ETC.
SIGNED BY O L-- DATE 1 r o tom]..-.