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ECO-CHEK Compliance, Inc. <br /> ec (2 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 /> ECO-CHEK COMPLIANCE INC <br /> WORK ORDER <br /> P.O.# <br /> Service Tech#1 � <br /> Service Tech#2 <br /> Service Tech#3 <br /> Site: <br /> r k l;„ r tt c-'es—" tj Date of Service , 436 Z 2 <br /> Phone# � <br /> X Technician Signature <br /> Work Authorization(customer signature) <br /> Service Requested <br /> Product Code <br /> -i End Time: Component: Action: <br /> Description of work performed: <br /> i r �'C� / �!'�!,A s� � � I.� ` i ir_j i� I�C `� V � - ! .! rc' •.i� ' l.�r �_� <br /> Parts Used(part#) Description QTY Old SN New SN <br /> k i <br /> Additional Work Needed? <br /> Describe: (only if job not complete) <br /> Parts Needed(part#) Description <br /> QTY Price ea. <br /> Must Return Multiple Techs Regular Labor $ <br /> Complete 1st Trip After-Hours Dispatch Overtime Labor $ <br /> Returned Complete 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 hour -time will be rounded up to the full hour Materials <br /> t Sales Tax% <br /> X Total <br /> Total due in 15 days, upon receipt. Overdue accounts subject to a service charge of 5%per month. <br />