415 LAFAYETTE STREET SEPTIC PUMPING RECORD 9-2-21 dbo_8be30lel-72aa-4bf9-9904-ld7dc836bl6a.jpg 1,512x2,016 pixels 9/9/21,6:50 AM
SERVICE 5'kaltherR Park
North Reading,MA Pumping&Dram TOLL FRE01864
P--,9bo 94-92Gs WORK ORDER
CO-,Irte. FAX-578-27s-6w
WF.& -lenficepumpin&com t9ATE: �Z
"Protecting Your Environment for Ott 80 YOW ARRIVE:
O'aPARr:
BILL TO- r'I Y v1 ✓ �
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JOB NAME:
i
CI INSIDE _ OUTSIDE D FRONT EAR Ij RIGHT SIDE JOaTYPE: I EMERGENCY
141 NEXT TO DRIVEWAY O LEFT SIDE 0 M
OTT, WORK REQUESTED
0 GREASE TRAP IN l OUT PRICE AMOUNT
- gallons!bs.
2-SEPTIGTANf4 9
Lallans
Q PUMP,CHAMSER IN!OUT
gallons'
d p sEwER MANHOLE W!OUT
gallons
El HOLDING TANK IN J OUT gallons :
Q-SAND TRAP 1N!OUT gallons
i
0 STORM DRAIN IN/QUTT—
1 OTHER IN I OUT gallons
CJ DIGGING FT. IN.
I7 TREATMENT
p HIGH PRESSURE WATERJET
p VIDEO PIPELINE INSPEG11ON
t
c x
Poo#
TAL MATERIALS
TRUCK# TECHNICIAN HOURS RATE
;4MOUNT TO
ri TOTAL LABOR
2 TOTAL
DISCOVER BILL(TERMS:PLEASE PAY WITHIN So DAYS)
payment Mettwd(circa one). CASH CHECK MC VISA AME7C ZIP
OR..�.- �.. CODE
CREDIT CARD#: vdh be in p untq payment Is at 5er an
is dtte within 30 days of Invoice Data.For any imrofce aged past 00 days a S to payments yyments tf�000 a a
SA lees. coil
Rem aN I and tnateriaia that hava,tiot to EemR wl l2lt clays
F}ralrt CQ,Inc.also reserves the right to repossess on the xWlnal InvOICS Date.Debtoral
adoonal fee of$35.00 and does not resat ft bpWnet,awomscL All servicesejam Acrotmtra rsev�t to ;
,1111 Thank YOU
SIGNATURE ocmploon of iho Aw,d0 v�xk I
__�.� .rX fl hereby
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