SERVICE WORK ORDER

• Job #

• Customer

• Customer Contact Person

• Customer Phone Number

• PO #

• Called in By

• Envirovac PIC

• Manpower required

• Date and Time called in

  Date

• Date and start time of job

  Date

• Arrival time at office

  Date

• Estimated Duration of Job

• Job Descritption

Equipment options

• 10k

• HV 10k

• 20k

• HV 20k

• 40k

• Hot water pressure washer

• Dry vac

• Dominator

• Sewer jet

• Support truck

• Roll off truck

Vacuum options

• 6" rubber hose

• 4" hose

• 2" hose

• 6"pipe

• 4"pipe

• 2" pipe

• 6" flex

• 4" flex

• Vac box

• Pipe trailer

Unloading options

• Dump- please list location

• Decon site-please list location

• Off site- please list location

• Sludge box

• Sludge pump

• Job trailer

Water blast accessories

• Blast hose-please list quantity

• Lances-please list quantity and size

• Stinger-please list quantity

• Water supply

• Tips-please list type and quantiy

• Nozzle-please list type and quantity

• 2D

• 3D

• Guns-please list quantity

• Pedals-please list quantity

• Any Special Accessories?

Information

• Tube, line or tank-

• Length

• Height

• Diameter

Safety

• Confined space-please include lifelines

• Monitors- please list personal or reader, 4 gas, H2S or CLO2

• Lockout

• Harness/fall protection

• Full face respirator

• Half face respirator

• Air purifying

• Supplied air

• ANY OTHER SPECIAL PPE SPECIAL REQUIRED?