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C <br />ece( <br />ECO-CHEK COMPLIANCE INC <br />WORK ORDER <br />Site: 1 <br />Phone# <br />X <br />Work Authorization (customer signature) <br />Service Requested <br />ECO-CHEK Compliance, Inc. <br />P.O. Box 1394, Lafayette, CA 94549 <br />P: 888-500-CHEK F: 415-399-9602 E: contact@ecochek.com <br />www.ecochek.com <br />Product Code <br />P.O. # <br />Service Tech #1wg <br />Z <br />Service Tech #2Service Tech #3 VA <br />Date of Service ISQ' 7; S <br />Technician Signature <br />Start Time: End Time: Component: <br />Action: <br />Description of work performed: <br />Nil <br />Parts Used (part #) <br />Description <br />QTY <br />Old SN New SN <br />Additional Work Needed? <br />Describe: (only if job not complete) <br />Parts Needed (part #) <br />Description <br />QTY <br />Price ea. <br />Multiple Techs Regular Labor <br />=Completel After -Hours Dispatch Overtime Labor <br />Double Time Labor <br />Travel Hours <br />Please note: Minimum one hour Labor and Minimum one hour Travel will be billed, Mileage <br />after an ur - time will be rounded up to the full hour Materials <br />Sales Tax % <br />t. � �.d �iC1��+ <br />X X Q �� Total <br />$ <br />$ <br />$ <br />$ <br />1111111 � l <br />I <br />Total due in 15 days, upon receipt. Overdue accounts subject to a service charge of 5% per month. <br />I <br />