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HomeMy WebLinkAboutMiscellaneous Septic Tank 2010-11-23 Above All Sa.Jitation~ LLC P.O. Box 1209 'Veneta, OR 97487 1-888-453-1310 541-935-4248 Name ,Gar V~ f<aA-t!r: f>.~.~::)J'n 1;,' ....,f....\ ..t!:!. kl1.Y:..{.,.!l>... .. ~ ' (". \ I Addressf;'..::J\O r \ '(.;,~I~~-~ '1;.>"- ~\''-<1''I.C 'i7" Pho~eNo:l ,;H-(P~-/-:;f.e;,2.~' Da:e Ii 15:3/,Q !' . Septic Tank ~/GaIIOnS l~ a.34-? f:l.3'-1o~ Sewage Vault D Gallons ' Grease. Trap D. Gallons ! . . Holding Tank D Vault TOilets D r4j Other D Certification of Inspection Fee . r(~ Labor (one hour minimum) Locate and'Oig, ; , Start \ Finish ,V: \ * ,. t-.. AI);.._;,'A\;"l ~ecommend ~ext.pumping:i I ~I~ J~; Billing: I authorize Above All Sanitation, LLC to~Jnduct requested services and will not hold Above All Sanitation, LLC liable for any property damage incurred in the process. Owner hereby agrees to assume financial responsibility should escrow terminate. 1.5% interest per month on all past due accounts. . t f./ ,/ /l , ../A -"'7'" ~ . " ,. . " , .'.... . '5(0 ...1G..c{. l'v1ap Page ,...~.,- - ......--..., ......... .'- Start Escrow Fee: Escrow Information: Escrow # Finish -r ....-- i :h--;: . " , c ;! '"'f Blow Bag Service: Materials: Inlet: Scum: Outlet: Sludge: .\ ~"'"'- Recommend Repairs: Signature '/... L----- I. " :P----' . , .:r' ,,"..' I""}_ -':~ 'J, Inv# 5eas '\ \) Date Pd. ~ Ck.# Total: It. 3. '-fa ..:>0 Ye. So. , DEQ License . Bonded . Insured ,-:;