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  • Septic Services
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  • SEPTIC PUMPING
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  • PORTABLE TOILET
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  • SEPTIC SYSTEM INSPECTION
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    SEPTIC SYSTEM INSPECTION ORDER FORM
    * Required Fields

    NOTE:  PAYMENT NEEDS TO BE ARRANGED PRIOR TO INSPECTION.
    NO REPORT WILL BE ISSUED UNTIL PAYMENT IS RECEIVED.
    * Requester's Name
    *Requester's Phone
    Settlement Date
    Property Address
    Municipality County
    Block Lot

    Seller's Information
    * Seller's Name
    Street Address
    Post Office
    City State   Zip 
    *Home Phone Work Phone
    Cell Phone Fax
    No. of Adults Number of Children
    No. of Bedrooms Age of Home
    Well Water?

    Buyer's Information
    * Buyer's Name
    Street Address
    Post Office
    City State   Zip 
    *Home Phone Work Phone
    Cell Phone Fax
    No. of Adults Number of Children
    Pumping Inspection
    Is this a Re-Inspection?

    Seller's Realtor Information
    Seller's Agent
    Seller's Agency Name
    Street Address
    Post Office
    City State   Zip 
    Agent's Email
    Office Phone Office Fax
    Home Phone Home Fax
    Cell Phone

    Buyer's Realtor Information
    Buyer's Agent
    Buyer's Agency Name
    Street Address
    Post Office
    City State   Zip 
    Agent's Email
    Office Phone Office Fax
    Home Phone Home Fax
    Cell Phone

    Service Agreement

    By requesting the inspection services, I understand that the nature, location and system condition cannot be determined prior to completion of the field inspection and technical review of the data collected.

    I understand that a normal part of the inspection process involves the use of a non-metallic probe to penetrate the earth in search of buried tanks and system components.  It also involves opening the tanks for inspection and auguring the drain field.  If not pumped at the time of inspection, it will not be possible to determine the true condition of those tanks.  It is sometimes necessary to position the service truck on the property to pump the tanks for internal inspections or incur the use of a backhoe to open tanks greater than 12" in depth.  Involvement of a backhoe will incur additional fees and labor.

    I acknowledge that the inspection process can result in damage to unmarked or buried utilities such as sprinkler systems, wiring, water lines, gas lines, fuel lines, fuel storage tanks, paved driveways, lawns, etc. during tank location and access.  If necessary to cross any unpaved areas of the yard, English Inspection Services, Inc.  is not responsible for ruts resulting from such passage and release English Inspection Services, Inc., its employees and officers from any claim of property damage resulting from that crossing.

    I represent and warrant that I am the owner or the duly authorized agent of the owner(s) of the premises, that I am of legal age and can contract in my own name.  In the event my account is referred to a collection agency or attorney for non-payment of my balance, I will be responsible for all costs associated with such action.  These will include all attorney fees, court costs, interest on the unpaid balance, collection fees and any other such cost incurred to make English Inspection Services, Inc. whole for the work performed.  I personally guarantee payment of the account.  I represent and affirm that I have read this waiver and understand and consent to its terms.

    By clicking the "Submit" button below, I agree to this Service Agreement

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