HomeMy WebLinkAboutSeptic - Repair - Receipt - 1062 SALEM STREET 4/15/2022 J Stewart's Septic Service J Andover Septic U Stratham Hill Septic U Roto-Ram
(978) 372-7471 (978) 475-2593 (603) 772-5548 (978) 452-9022
58 South Kimball Street, Bradford, MA 01835
1a o t S rvipe PAY FROM THIS BILL
Customer Name: 0 C t Q Reg. Nature of Service
U N/C FJ Reg.Maint.
Service Location, IJ Emergency
Phone: Septic Tank Pumping and Cleaning J Day J Night
"Done the Right Way"
Contact:
Billing Address: Not Responsible for Covers
or Irrigation Systems
City:
Special Instructions
J Completed
1:3 Incompleted Reason:
Per:
AM/PM
Services Rendered
Vacuum Pumping Observations Drain Cleaning
❑ Septic Tank ❑ Good Condition rJ Main Line
❑ Drywell ❑ Leechfield Runback ❑ Toilet Bowl
Q Leech Pit/Overflow ❑ Riding High ❑ Kitchen Sink
FJ D-Box (liquid level) ❑ Bathtub/Shower
❑ Pump Chamber ZI Full to Cover ❑ Vanity
❑ Grease Trap Q Excessive Solids ZI Floor Drain
• Catch Basin Top/Bottom J Vent
• Portable Toilet Q Use No Powdered Soap ❑ Sewer Jet
IJ Other J Heavy Grease D Other
Oty: ❑ Roots Footage:
Size: J Suggest Electric
* Under 1000 gallons U 1000 gallons J 1500 gallons Plootering
* 2000 gallons Ij 3000 gallons rJ 4000 gallons J Van Called
IJ 5000 gallons J Other J Other
Misc.
• Digging Charge D Backhoe ❑ Inspection
• Location ft./in, ❑ Consultion hrs. ❑ Certification: P/F
�J Service Call J Estimate Reason:
IJ Labor ❑ Portable Toilet Rental J Pump Repair
D Waiting Time D Baffle U Repair
Digging Charge is Per Driver ❑ Chemical Treatment
Discretion Z) Other
Descriptio
n of work
A",
Recommendations Terms of Payment Parts
Vacuum Pumping Drain Cleaning PAYMENT DUE IN FULL
Yr. -Month Yr. Month UPON COMPLETION Tax
Terms&Conditions I FJ Cash J Check FJ Credit Discount
Total
1. Not responsible for damage beyond curb line. 3. 1.5%per month will be charged to accounts past due.
2. All complaints shall be reported within 48 hours. 4. The purchaser agrees to pay all cost of collection.
f
Customer Signature Serviceman