Report (102) Ticket# # $ PLM 2O!?- oo31S
Date 5111 85th AVE. E. Bldg. C Suite 2 PUYALLUP, WA 98371
PHONE 253-926-5586 FAX 253-926-5555
DRAINI*935NC
Customer Name Site Contact Phone #
Site Address City State Zip
Payment: S/B Check# Cash Credit Card # Exp.
=1`Mailing Address City State Zip
Drain cleaning: TECH LABOR TRUCK# START TIME ON SITE TIME OFF SITE DISPOSAL IN DISPOSAL
TIME OUT
f Jetting Hrs
Camera Hrs o :00
Drain Cleaning Hrs Description of Work Performed Hr Unit Total
Locator Pill # Price Amount
Septic Tank Pumping: r
Tank Liquid Level:
❑ Normal ❑ High ❑ Low
Locate/Dig Hrs
Start Inches
c;
Stop Inches j ff
Septic Tank Info:
Sludge/Scum
1st Comp. /
2nd Comp. /
Pump Chamber /
Tank Size
Gallons Pumped
Baffles Intact ❑Yes ❑No
Inches/Minutes
Draw Down
1 Timer On
Timer Off
I Counter
ATU
Riser Needed ❑Yes ❑No
TV _-
Push Camera Hrs
Main Line Hrs
Lateral Launch Hrs
Mud Master Hrs Additional work needed ❑Yes ❑ No
Locating Drawing/Additional work info Sub-Total
Total Feet Tax
DVD# VHS#
ET: Total
Type I# Type II# Terms: Net 10 days.
Storm SystemO/W 1 1/2 % Per month
Pond Sewer delinquency charge on
past due accounts.
Hydro-Ex Jetting
ADS Used ❑Yes ❑No
ADS Left on site❑Yes ❑No
Disposal On Site
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Customer Signature: Date: