Laserfiche WebLink
GIIVE <br /> DIAMOND PETROLEUM SERVICES, INC. V1 V 7 70t <br /> Ph: (925) 470-0803 • Fax: (925) 238-0871 - Lic. #1005444 <br /> SERVICE REQUEST FORM ENVIRONNAENTAL HEALS <br /> DEPARTMENT <br /> Site: W.O#: y 4 Date: <br /> Address: 0 ✓ ay!/7-s S';+ v�F 44/LLI Cc. <br /> Client: a Phone: <br /> Service Requested: y//. ��O 15110w. <br /> Description of Work Performed: eG dw— — ✓it� skew;1V6 . 1ci <br /> rte-- 1-1'�-v; a✓ — 6 --1-4o1 <br /> JU — c L <br /> u�. .Pal/ - 1 ce JS dr✓ �l C Itv <br /> r <br /> o SY?oma- Zod �er� tF I Dd 8 — O 0 1110 7-319 . <br /> C <br /> Work Preformed by: Arrival Departure Labor Travel Total Hours <br /> Time Time Hours Hours <br /> Guadalupe Sanchez 3: f "- s'-00 " <br /> 1 HAVE THE AUTHORITY TO ORDER THE WORK, WHICH HAS BEEN SATISFACTORILY PERFORMED,AS OUTLINED ABOVE IT LS AGREED THAT THE <br /> SELLER WILL RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL THAT MAYBE FURNISHED UNTIL FINAL PAYMENT IS MADE,AND IF SETTLEMENT IS <br /> NOT MADE AS AGREED,THE�RHALLAVE THE RIGHT TO REMOVE SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY DAMAGES <br /> RESULTING FROM THE RF, <br /> Customer Signature Date <br /> Print Name <br /> TERMS.30 DAYS NET. A FINANCE CHARGE OF 3%PER MONTH WILL BE CHARGED ON INVOICES UNPAID 30 DAYS FROM BILLING DATE IN ANY ACTION <br /> NECESSARY TO ENFORCE THIS AGREEMENT. THE BUYER WILL PAY REASONABLE ATTORNEY FEES AND COSTS DETERMINED BY THE COURT. <br /> "RETURN CHECK POLICY *Return Checks will be charged a minimum of$25.00 each <br />