Information
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Job #
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Customer
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Customer contact person
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Customer Phone Number
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PO #
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Called in By
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Envirovac PIC
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Manpower required
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Date and Time called in
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Date and start time of job
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Arrival time at office
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Estimated Duration of Job
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Job Descritption
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Equipment
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10k
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HV 10k
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20k
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HV 20k
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40k
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Hot water pressure washer
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Dry vac
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Dominator
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Sewer jet
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Support truck
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Roll off truck
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Vacuum options
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6" rubber
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Quantity
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4" hose
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Quantity
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2" hose
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Quantity
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6" pipe
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Quantity
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4" pipe
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Quantity
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2" pipe
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Quantity
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6" flex
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Quantity
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4" flex
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Quantity
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2" flex
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Quantity
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Pipe trailer
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Vac box
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Unloading options
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Dump- please list location
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Decon site-please list location
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Off site- please list location
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Sludge box
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Sludge pump
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Job trailer
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Water blast accessories
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Blast hose
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Quantity
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Lance
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Quantity and size
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Stinger
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Please list quantity, size and length
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Water supply needed
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Tips
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Type and quantity
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Nozzle
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Type and quantity
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2D
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3D
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Shotguns
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Quantity
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Pedals
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Quantity
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Any special accessories
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Please list and quantity needed
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Vessel information
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Tube
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Length
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Line
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Length
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Tank
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Diameter
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Height
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Safety needs
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Confined space-please include lifelines
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Monitor
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Monitors- please list personal or reader, 4 gas, H2S or CLO2
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Lockout
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Harness/fall protection
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Full face respirator
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Half face respirator
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Air purifying
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Supplied air
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Protective clothing
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Tyvek
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Acid Suits
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Rain suits
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ANY OTHER SPECIAL PPE SPECIAL REQUIRED?
