HomeMy WebLinkAboutMiscellaneous - 175 GREAT POND ROAD 4/30/2018I
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ANDOVER SEPTIC PUMP RS Day C3 Night
PAY FROM THIS BILL
Customer Name:
P.O. Box 4173 B Station
Andover, MA 01810
(508) 475-2593
Professional Septic & Drain
Service Location, 4i
Phone:
Contact:
Locally Owned and Operated''
Emergency 24 Hr. Svc. — 7 Days
Billing Address:
City:
Zip:
Special Instructions Completed
Completed
Per:
Per:
Reason:
AM/PM
Services Rendered
Vac um Pumping
Septic Tank
C1 Drywell ,
11 Leech Pit /:Overflow
0 D -Box
oe
0 Pump chamber
0 Grease Trap P�
E3 Catch Basin.
11 Portable Toilet
11 Other
Qty:
Size:
❑ Under 1000 gallons 0 1000 gallons 0 1500 gallons
!000 gallons 0 3060 gallons 0 4000 gallons
Observations
Good Condition
0 Leechfield Runback/t/0
0 Riding High MO
(liquid level) n
0 Full to Cover
El ExcessivelidWO
Top / Bottom
0 Use No Powdered Soap
0 Heavy Grease
0 Roots
0 Suggest Electric
Rootering
0 Van Called
Drain Cleaning
0 Main Line
C3 Toilet Bowl
C3 Ktchen Sink
El Bathtub / Shower
0 Vanity
0 Floor Drain
0 Yard Drain
El Vent
11 Sewer Jet
C3 Other
Footage:
000 gallons 0 other
0 Other
Misc.
0 Digging Charge 0 Backhoe
El Location Win. 0 Consultation
0 Inspection
firs. 11 Certification: P/F
C1 Service Call C3 Est;mato Reason:
0 Labor 0 Portable Toilet Rental 0 Pump Repair
C3 Waiting Time 0 Baffle
0 Repair
Digging Charge Is Per Driver
C3 Chemical Treatment
Discretion
C1 Other
Description of Work
ir,/ ce,
Recommendations
Terms of Payment
Vacuum Pumping Drain Cleaning
Yr. Month Month n th
NET 1 5 DJASY S
Parts
Tax
Discount
:Te;7tT* Conditions ❑ Cash 0 CheckP'Cri
1. :Not es ponsible for damage beyond curb line.
(2, ornpiaints�shwl be repbried4ithin 48 hours.
dit
3. 1.
3. 1.50 per month will be charged to accounts past due.
`
4.
—,T 9 purchaser agrees to pay all cost of.collection.
6
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Customer Signatu4,,;
uyt,e all T1111ut" 1UL;Vr1L;1L19i`1:J.
Servicema
,2L
SEPTIC SYSTEM INSPECTION FORM
ADDRESS
nATF. TNRPFrTFn d r'
PROPERLY FUNCTIONING? (0 N
WEATHER CONDITIONS
COMMENTS: -
WATER QUALITY TESTED? RESULTS?
;DYE TEST PERFORMED? Y N
DATE?
SKETCH: