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-4 Client To Sample And Deliver To #�DRNIA WATER LABS. 11 Sampling & Anall w Plan Received. <br /> FIELD SERVICE REQUIREMENTS: Estimated Service B Service Rate Service Charge <br /> 1__1 Route Surcharge: . . . . . . . . . . . . . . . . 0 To 25 Miles f 0.00 <br /> . . . . .. . . . . . . . . 26 To 60 Miles 1 1 f 10.00 <br /> . . . . . . . . . . . . 61 To 150 Miles 1 f 20.00 <br /> 1 ! Non-Route Charge (Round Trip). . . . . . . . . . / Miles x f 0.45 <br /> _ <br /> Field Service Labor <br /> • . . . . , . _________ Hours x S 35.00 = f— _ ----- <br /> 11 Light Duty Truck . . . . . . . . . Miles x f 0.45 = f <br /> 1~1 Heavy Duty Truck . . . . . . . . . . . . . . . . Miles x f 0.65 = f_.,, <br /> 1— Other Equipment/Labor As Listed Below: <br /> ---- -------------------- --------- --------- x f---- ----- - f-------- --- <br /> Field Charges <br /> ---__-_ ------_ -------------_. ----- -------- -------- x f ----- - f-- ------- <br /> ---------—---------- <br /> ---------------------------- -------- -------- x f----- ---- r f----- _..._ f �5 7 fv <br /> HAIARDOUS MATERIAL: <br /> 1—1 None 1-1 Biological 1—1 Explosive/Ignitable 11 Pesticide Residuals 1__1 Reactive Toxic Vapor <br /> —1 Required Personnel Protective Equipment And/Or Procedures: <br /> 0 T H E R I <br /> :-1 QUALITY ASSURANCE/QUALITY CONTROL: <br /> 1—1 Standard QA/QC Report 11 Chain-Of-Custody Required 1 CLP Equivalent Quote <br /> 1— SPECIAL REPORT REQUIREMENTS: Report Charges <br /> Specify: �.___---------------------_.--------------_----------_,.___... Quote f------ ---- f <br /> DISPOSITION 1 Put On Normal Hold For 31 Days Hold Beyond 31 Days To: __—/- Disposal Charges <br /> OF Return To Client (No Charge) or Month (s) 8 55.00 Per Month <br /> SAMPLE _ —�- <br /> 1-1 825.00 Lab Disposal Surcharge To Client 1__1 Returned To Client On: II f <br /> [TOTAL OTHER CHARGES f <br /> DISTRIBl1TION: 1ii1 Accounts Receivable ;iX1 Client File 1iX1 Sample Control 1it.' Client: <br /> :-1 Organic lab 1-1 Inorganic Lab 1-1 Field Services i—1 Other: <br /> File: OFVPG2.FRM Page 2 of 2 Rey: 81/04/1999 <br />