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CONTAINIANT <br />SOLUTIONS <br />A DENAU COMPANY <br />field agreement - Type C Containment Solutions, Inc. order no. <br />Containment Solutions, Inc. job no. <br />date of agreement <br />original invoicee <br />final owner <br />job name <br />address <br />address <br />address <br />product description, size, serial no. <br />material being stored <br />date shipped <br />tank installation date <br />producing plant <br />description of work required: <br />estimate <br />labor hrs. at $ /hr. <br />travel hrs. at $ /hr. <br />miles at $ per mile <br />per diem at $ /night or <br />$ /day <br />material at list price <br />subtotal <br />plus 25% <br />total <br />will this repair be warranted for 1 year? yes no <br />if no, reason for no warranty: <br />Containment Solutions, Inc. technician signature date <br />Customer agrees to pay Containment Solutions, Inc. for this work at Containment Solutions, Inc, Field Service rates net 30 upon receipt of invoice. <br />authorized representative of company to invoice: <br />customer signature title date <br />company to invoice for this work: <br />company P.O. no. <br />address <br />Pub No. FRM 12001 <br />zip code <br />