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I....r „,.,.a .. 0 WORK ORDER _ • __.. <br /> Work Order No : 0000008499 WorkTrade :Inspection <br /> Work Order Status : Closed Work Type: Preventive <br /> . Work Priority: Normal <br /> Received by: Christopher Torre Assigned to : <br /> i <br /> Received Date/Time: 7/30/2012 <br /> Requester <br /> Required Date/Time : Phone Number: <br /> PM Target Start Date : 8/7/2012 PM Target End Date : 8/13/2012 <br /> Problem Description : Tank linspections <br /> AUG,1.41..2014 ' <br /> Notes To Technician Notes to Technician <br /> (Asset) (location) <br /> ENVIRONMENTAL H LTH <br /> Failure Code : - Checklist No : 194 DEPARTMENT <br /> Asset No : 9050 Location No: 8600 <br /> Asset Name : Tank Inspections Location Name: SAFETY EQUIPMENT& <br /> INSPECTIONS <br /> Cause Description Action Taken Prevention Taken <br /> PID readings in range <br /> • <br /> Parts and Labour Details <br /> Part No Part Description Issue Type(D/1) UoM Qty Used Qty Returned <br /> D=Direct Issue,1=Inventory <br /> Employee Name Employee No Start Date/Time End Date/Time Normal OT 1 OT 2 OT 3 <br /> Date and Time work was started Date: Time: <br /> Date and Time work was completed: Date: Time: <br /> Certification of Work Completion <br /> Name and Signature of Technician/Engineer Name and Signature of Requestor/Supervisor <br /> ......................... Name ......................... Signature ......................... Name ......................... <br /> Signature <br /> Date: Time: Date: Time: <br /> Please rate our services :- 1. Poor 2. Fair 3.Good 4.Very Good 5.Excellent <br /> CepytlyM Qft Systems Bemen <br />