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Report ALOHA SANITARY SERVICE INVOICE NO. 8600 SW Hillsboro Hwy., Hillsboro, OR 97123 1 R 71( 503-644-2797 • 503-648-6254 • 503-846-1951 (FAX) www.alohasanitary.com • Email: info @alohasanitary.com NAME: 774 6 t 1 'C_d ADDRESS: CITY: /��] ZIP: HOME: WORK: CELL: ,�j qqOZ__-_ (2/�,`, JOB SITE: F �t.t�. P.O.#: v no/1J opi__000e- PAID BY CHARGE ❑ CHECK ❑ CASH ❑ CREDI D`Q DATE 1 Y/OY/20(L DRIVER / ? G AMOUNT ❑ PUMP SEPTIC TANK 1,110472 ` ., ❑ INSPECTION FEE ❑ SERVICE CALL ❑ LABOR, LOCATING, DIGGING, BACKFILL -101/4" I(°/1#0 TOTAL - - THIS/S NOT A SEPTIC SYSTEM INSPECT/ON REPORT- - y TYPE OF TARK: STEEL LI CONCRETE ❑ PLASTIC..I HOMEMADE ❑ HORIZONTAL- -VERTICAL ❑ RECTANGLE ❑ ❑ OTHER SIZE OF TANK: 350, 500 ❑ 750 ❑ 1000 ❑ 1250 ❑ 1500 ❑ 2000 ❑ 3000 ❑ LID LOCATION: INLET ❑ OUTLET ❑ MIDDLE ❑ ENTIRE TOP ❑ TANK CONDITION: Gam-❑ FAIR ❑ OR ❑ FITTINGS: BAFFLES ❑ CONCRETE ❑ CAS RON ❑ PLASTIC ❑ GROUND COVER OVER TANK COMMENTS Customer Signature DATE