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Preventative Septic and Drain, LLC
327 Asbury Street Date:
S. Hamilton, MA 01982
978-468-9001 Technician: G I'j
CUSTOMER SERVICE REPORT Hose length:
System Owner: Job Site/Contact:
Address: Address: Q
Phone Phone:
SYSTEM FUNCTION CHECK & PUMPING REPORT
❑ Septic Tank: ❑single ❑double compartment Filter present: ❑ Yes �3No
Cesspool: ❑overflow cesspool ❑ Cleaned ❑ Replaced ❑ Installed
Size of tank ?: ) gal Type of filter:
Actual amount pumped 1 0 gal Condition:
Scum layer(acceptable range 1-2" in — ---- —Sludge depth(acceptable range 5-10" in Comments:_
Liquid level
❑Overflow Tank / ❑Overflow Cesspool
Size of tank gal
Actual amount pumped gal
Liquid level
Condition
YES NO We recommend that you pump your septic
Tank structure
Breakout or ponding system every: I' ` 2 3 4 5 years.
Liquid level above inlet invert - *Thank you fo��Our continued patronage, we
Liquid level above outlet invert ' really appreciate your business! Our goal is to
Tee or Baffles missing or broken @ inlet leave our customers satisfied and delighted by
Tee or Baffles missing or broken @ outlet providing exceptional service. Please call with
*YES indicates there is a problem,NO indicates there is no problem any Questions or concerns.
PREVENTATIVE MAINTENANCE PERFORMED
QTY. 1 ff DESCRIPTION PRICE AMOUNT
, D —
2007ill IQ
ROARID OF HEA!TH
TOTALPayment amt received 1 $ ❑ Cash - Check #: '3WV Bal:
For office use only please. Invoice entered Payment applied Pumpi g�nt to BOH(G
-
Date: 2l e Date: Date: