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E "TI I ATE OF SEPTIC INSPECTION <br /> River Rats Septic & Plumbing Services <br /> 14915 Isleton Road • Isleton, CA 95641 <br /> 916-796-5268 • RiverRatsSeptic@outlook.com <br /> Owner's Name Phone <br /> Billing Address <br /> Job Address Escrow # <br /> Date Pumped Capacity Parcel # <br /> TANK CONSTRUCTION <br /> Q CEMENT ❑ FIBERGLASS ❑ OTHER <br /> CONDITION OF BAFFLE &VENT SPACE <br /> ❑ OK ❑ CEMENT ❑ REDWOOD ❑ OTHER <br /> CONDITION OF LIDS <br /> ❑ OK ❑ NEEDS TO BE REPLACED ❑ OTHER <br /> CONDITION OF T'S <br /> ❑ OK ❑ NEEDS TO BE REPLACED (TO CODE) ❑ OTHER <br /> SEP i iC TANK & LEACH FIELD CONDITION <br /> ❑ Leach field appears to be working OK at this tirne. INVOICE <br /> ❑ Leach field shows signs of failure. <br /> ❑ Liquid level of tank was normal. PUMP SEPTIC =$ <br /> ❑ Liquid level of tank was over tank T's to lids. <br /> ❑ Necessary repairs made - system OK. HRS./LOCATE DIG UP <br /> ❑ Imminent Failure - system could fail at any time. <br /> ❑ DATE LAST PUMPED. �$ P/H =$ <br /> REPAIRS: MEN <br /> ❑ AS BUILT: LID DEPTH <br /> HRS./LABOR =$ <br /> MATERIAL =$ <br /> TAX =$ <br /> CAMERA =$ <br /> LOCATOR =$ <br /> Recommendations: =$ <br /> =$ <br /> TOTAL DUE =$ <br /> Authorized <br /> DATE PAID: <br /> Signature: r <br /> Payment due upon completion of job. Finance charge is 18% of unpaid balances <br />