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• <br />CALIFORNIA HAZARDOUS SERVICES, INC. <br />1431 E. St. Andrew Place • Santa Ana, CA 92705 • (714) 434-9995 • Fax (714) 434-9998 <br />ENVIRONMENTAL COMPLIANCE <br />GEOPAR# ()jSJ ( LJ Q <br />SERVICE REQUEST # 14 Y[? 06 D -1 &3 <br />JOB L CATION: <br />J <br />® SITE: �r <br />BLDG: t LLI A I <br />GEN RM: <br />OTHER: �'CJ� /J itJ{t�ti c1�1L��T5 <br />DESCRIPTION OF WORK PERFORMED A <br />,f.v r- e - ' / <br />w <br />FWORK ORDER <br />No 29$70 <br />DATE: ®2 _�lr,. zt % <br />JOB #: CT -3 �..2 j <br />ARRIVAL CALL: <br />DEPART CALL: <br />NAME <br />MILEAGE: Z 33�� <br />TIME <br />I QUANTITY FIELD NOTES / EQUIPMENT & PARTS UNIT EXTENSION I <br />JOB COMPLETED? YES ❑ NO W 4 m <br />If NO, Estimated hours/days to Completion <br />I UNDERSTAND AND ACKNOWLEDGE THAT 1 WILL <br />BE INVOICED FOR THE WORK DESCRIBED ABOVE. <br />PRINTED NAME: <br />SIGNATURE: <br />SUBTOTAL <br />TIME RECORD <br />NAME <br />ARRIVAL <br />TIME <br />DEPARTURE <br />TIME <br />LABOR <br />HOURS <br />TRAVEL <br />HOURS <br />O.T. <br />HOURS <br />TOTAL <br />SALES TAX <br />LEAD TECH: r"" I , <br />/� w <br />J`w/ % <br />LABOR <br />HELPER:�� <br />nULc <br />•u + <br />T ! Dp.t <br />tl <br />TOTAL. <br />HELPER: <br />HELPER: <br />JOB COMPLETED? YES ❑ NO W 4 m <br />If NO, Estimated hours/days to Completion <br />I UNDERSTAND AND ACKNOWLEDGE THAT 1 WILL <br />BE INVOICED FOR THE WORK DESCRIBED ABOVE. <br />PRINTED NAME: <br />SIGNATURE: <br />