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Name/Address/Phone/Email*

Name

Street Address

City

State

Zip

Phone

Email

Are you familiar with ISO or other quality systems?*

Yes

No

Do you have a current valid drivers license?*

Yes

No

CDL Class B/Air Brakes (MIN)

Are you able to lift and move 50 lb weights as described?*

Yes

No

Have you ever, or do you currently work on industrial scales?*

Yes

No

Do you have any experience programming scales, PLC's, etc?*

Yes

No

Are you willing to provide lab samples for alcohol and drugs?*

Yes

No

No beards are allowed, does this pose any problem or concern to you?*

Yes

No

Are you willing to travel or stay overnight as needed?*

Yes

No

Are you willing to be available for service calls 24/7?*

Yes

No

Are you willing to relocate?*

Yes

No

Comments About This Information*

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