Report (36)Peerr k *'• PLM
1M
DUSTIN KENTON
BYER'S SEPTIC TANK SERVICE, INC.
P.O. BOX 549
OREGON CITY, OREGON 97045
(503) 656-3326
byersseptic@gmail.com
DEQ #33052
BILLiO �% MM r✓
ADDRESS
CITY
JOB NAME AND LOCATION e
5,80 S vY • �,rdn,�
2019-d0I75
v Free --y K �- Sllq,-
JOB INVOICE
DATEORDERED,
Ptj�_ '-fz"
ORD TA�/K7EN BY
DATE PROMISED ❑A.M.
L.
.d % 0 P.M.
AMOUNT
TANK MATERIAL
❑ METAL 54CONCRETE ❑ PLASTIC
HOLDING TANK PUMPING---
UMPING---SEPTIC
SEPTICTANK PUMPING---
UMPING---TANK
TANKLOCATING AND DIGGING ---
--ARE
ARE THERE ANY SAFETY CONCERNS
WITH THIS SEPTIC SYSTEM
❑ YES AVO
I hereby acknowledge the satisfactory
completion of the above described work.
SIGNATUREDATE
COMPLETED
TOTAL
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