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Phone Number

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I would like Foothill Sanitary Septic to contact me as I would like the Request Service for..(check all that apply) I would like Foothill Sanitary Septic to contact me as I would like the Request Service for..(check all that apply) Service Repair Call Septic Pumping Septic Maintenance Grease Trap Maintenance Tank Location New Risers and Lids RV Pumping Holding Tank Pumping Root Extraction Root Maintenance Line Repair - Jetting Camera Inspection Leach Field Restoration Other (please describe below in Additional Comments section)

If Requesting a Service Repair Call in section above, What problems are you experiencing? (check all that apply) If Requesting a Service Repair Call in section above, What problems are you experiencing? (check all that apply) Slow and Sluggish Toilets / Drains Waste Water backing up into house Foul Odors Wet Areas Around Septic Tank Wet or Ponding Water in Drain Field Broken Pipes - Water Spraying Broken Lid(s) Buzzing or Clicking Noises are coming from Control Panel Alarms from Control Panel Other (please describe below in Additional Comments section)

If Alarms are coming from Control Panel - What type are they? (check all that apply) If Alarms are coming from Control Panel - What type are they? (check all that apply) Audible Alert Sound Top "Recirc Alarm" alarm light came on Bottom "Discharge Alarm" alarm light came on Top "Septic Tank" alarm light came on Bottom "Sand Filter" alarm light came on

If Requesting a Service Repair Call or Septic Pumping, Do you Know What Type of Septic System You Have? (If no, select 'Unknown') If Requesting a Service Repair Call or Septic Pumping, Do you Know What Type of Septic System You Have? (If no, select 'Unknown') Standard Gravity Evaporative System Sand Filter Siphon Dosing System Pressure Dosing System Either Siphon or Pressure - (not sure which but I do know it is a doing system) AdvanTex® System Vericomm® System Aerobic Treatment Unit (ATU) UNKNOWN

If Requesting Service Repair Call or Septic Pumping - Do we have to dig to get to access to the lids? If Requesting Service Repair Call or Septic Pumping - Do we have to dig to get to access to the lids? Yes No

If Requesting Service Repair Call or Septic Pumping -- Do you know where the tank is located? If Requesting Service Repair Call or Septic Pumping -- Do you know where the tank is located? Yes No

I Would Like More Information. Please have someone contact me regarding......... (please check all topics that apply) I Would Like More Information. Please have someone contact me regarding......... (please check all topics that apply) Obtaining a Maintenance Contract so I can be on a regular schedule and extend the life of my septic system Parts Warranty - I would like to learn more about your Parts & Components Warranty Vericomm® 24/7 Monitoring -I am interested to have my system monitored automatically so I can have peace of mind Grease Trap Service - I am interested in setting up a Maintenance Contract for Regular Service New Risers & Lids - I am interested in installing risers & lids on my tank as I am tired of my yard being dug up each time Decorative Rock Lid Covers - that fake rock lid cover on your Septic Services page looks nice - I would like to put them over my lids Root Maintenance - I would like to obtain the blue powder that helps prevent the roots from getting in my drain field pipes Aquaworx Remediator - I would like to know more about this system as my leach field is failing Updating my System - I would like to update my system if possible New System - I need a new septic system installed Leaky Toilets - I would like to obtain some of the dye packets Foothill Sanitary Septic can provide me so I can test my toilets

Additional Comments - Questions - Remarks