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® CONTAINMENT <br /> SOLUTIONS SERVICES <br /> Containment Solutions Svc. Order No: <br /> Field Agreement - Type Q <br /> • Containment Solutions, Inc. Job No.: 0 V Yj� <br /> Ph # 1.800.822.1997; Fax # 814.542.5020 l <br /> Date of Agreement: kAO __42 <br /> Original Invoices: Final Owner: Job Name: <br /> l0 <br /> Address: Address: Address: <br /> _T 9 <br /> �y <br /> Product Description. Size, Serial No: 39 -a®;)_? Materials Being Stored: <br /> Date Shipped: Original Warranty in Force? Producing Plant: <br /> Yes a' No <br /> Warranty-Containment Solutions, Inc.,warrants its products to be free from defects in manufacturing,workmanship,or materials and will repair or <br /> replace at its sole discretion f.o,b.place of delivery,but only within a period of one year after date of shipment,any product proven to be other than war- <br /> rantee Liability hereunder is limited to repair or replacement and does not include labor,installation costs,or indirect or consequential damages of any <br /> na?ure �e foregoing constitutes the entire obligation of Containment Solutions, Inc.,and there are no express or implied warranties,n or any warranty <br /> o` ne charm?abTty or fitness for any purpose whatsoever,except as stated above. <br /> Desc ption of Work Required: <br /> . ��� A1ufica4t l11Y) <br /> Containment Solutions Services Tech Signature:' Q`�__. _ _ _ Date: <br /> /l/ll� %br/ <br /> Containment Solutions, Inc Authorization for Performing Work <br /> Name Glyw' C-cs '-gaw0r-�Aj Date: <br /> • Customer/Contractor accepts explanation of the problem, authorizes Containment Solutions, Inc. <br /> to correct the pro m, a h s read and understands the Containment Solutions, Inc. Warranty. <br /> Signature: Company w by te: -9 <br /> I <br /> Pub No. FRM 12003C March 2017 <br />