0202-242 (PLBG)d
A-1 'Cesppool Service, Inc.
P.O. Box 580188, North Palm Springs, CA. 92258
'Since 19591
(760) 329-6875 Fax (760) 251-3405 -
State Lic. #265214
www.alcesspool.com
BILL TO
CITY
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OERVICIE PUMP SEPTIC TANK HAS SEPTIC TANK BEEN DUG UP? 0 Yes 0 No PMT ON SITE
MEQUESTED [3 PUMP SEEPAGE PIT AT ITS RISER OFFICE BILLRIG
CNIANT
Pumping Fee per 1000 Gallons (or fraction)
JOB INVOICE
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OERVICIE PUMP SEPTIC TANK HAS SEPTIC TANK BEEN DUG UP? 0 Yes 0 No PMT ON SITE
MEQUESTED [3 PUMP SEEPAGE PIT AT ITS RISER OFFICE BILLRIG
CNIANT
V
Pumping Fee per 1000 Gallons (or fraction)
Waste Discharge Fee per 1000 Gallons
Locating and Opening Fee (I hr. Min.)
Out of Area Fee
0 V,
0 THE LEACHING SYSTEM RAS FAILED.
0 THERE IS AN OBSTRUCTION "UPSTREAW OF THE SEPTIC TANK.
It will be necessary to contact a line cleaning company.
1] WE RECOMMEND MAINTENANCE PUMPING OF THE SEPTIC TANK EVERY
[] YEAR 0 OTHER YEAR [] 2-3 YEARS
To remove built up solids. This will increase the life ofyour leachin system.
0 THIS PUMPING WILL PROVIDE ONLY TEMPORARY RELIEF AND NbT
SOLVE CUSTOMERS SEPTIC PROBLEM BECAUSE OF THE ABOVE.
C1 CUSTOMER HAS BEEN GIVEN AN -EXPLATNATION- PACKET.
A SERVICE CHARGE OF $22 WILL HE DUE
ON ALL RETRUNED CHECKS.
A F114ANCE CHARGE OF 11/2% PER MONTIL 181/6 PER YEAR, WILL BE
CHARGED ON PAST DUE ACCOUNTS OVER 30 DAYS.
IF PAYMENT IS BY CHECK
DRfVERS LIC. # STATE
I hereby admowtedge the satisfactory completion of the above described worL-
IGNATURE
T.,bd
Due
V