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SAFETY EEN VACUUM SERVICE IIVIATE <br /> sw" <br /> pfla - CUSTOMER INFORMATION - <br /> w e/Z) <br /> SALES REPRESENTATIVES <br /> NAME <br /> ADDRESS BRANCH - - <br /> CITY/STATE ZIP <br /> CONTACT NAME PHONE NUMBER <br /> BRANCH PHONE NUMBER <br /> LENGTH X WIDTH x HEIGHT — CAPACITY IN GALLONS <br /> LENGTH X WIDTH X HEIGHT + 2-41— CAPACITY IN GALLONS <br /> X 0.7854 231 —= CAPACITY IN GALLONS <br /> DIAMETER x DIAMETER x HEIGHT <br /> DIAMETER X DIAMETER x HEIGHT <br /> X 0.7854 —231 CAPACITY IN GALLONS <br /> SEPARATOR SOLIDS Gallons x r'�� <br /> _ $ y7 sv <br /> PRICE PER GALLON <br /> Gallons x (-a,, = $ f Cf 5V <br /> SEPARATOR LIQUIDS PRICE PER GALLON <br /> TRENCHING SOLIDS Gallons x PRICE PER GALLON = $ <br /> TRENCHING LIQUIDS Gallons x PRICE PER GALLON _ $ <br /> TRENCHING LABOR Feet $ <br /> HELPER Hours $ <br /> VACUUM TRUCK Hours $ c'j <br /> WASH WATER $ <br /> ANALYTICAL WORK $ <br /> AFTER HOURS FEE $ <br /> MISC. $ <br /> MISC. $ <br /> ESTIMATE TO <br /> IMPORTANT NOTE:This estimate may no indi ative of your final bill.Providing us with blueprints,diagrams,capacities and/or any other information <br /> about your system a the differ ce betty n this estimate and your final bill.Since most separator systems qualify as confined spaces <br /> according s s' ,we are ited a prac ces we may use to access those systems and therefore depend heavily upon the quality of information <br /> that you are ab to provide gly,a o h the prices per gallon,prices per hour and the price per foot will remain firm for thirty days,the actual <br /> volume are d as a to p ce differ. <br /> v <br /> SALES REPR V S UR CUSTOMER'S SIGNATURE <br /> PART NO.1489 2/99 <br />