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�t :..:< • WORK ORDER . _. <br /> Work Order No : 0000010436 WorkTrade :Inspection <br /> Work Order Status : Closed Work Type: Preventive <br /> Work Priority: Normal <br /> Received by: Christopher Torre Assigned to : <br /> Received Date/Time : 12/14/2012 Requester <br /> Required Date/Time : Phone Number: <br /> PM Target Start Date: 12/25/2012 PM Target End Date: 12/3112012 <br /> Problem Description : Tank linspections R , <br /> 1. .2014 <br /> Notes To Technician Notes to Technician AUG 4 <br /> (Asset) (location) <br /> ENVIRONMENTAL HEALTH <br /> Failure Code : - Checklist No: 194 DEPARTMENT <br /> Asset No : 9050 Location No : 8600 i <br /> Asset Name: Tank Inspections Location Name : SAFETY EQUIPMENT& <br /> INSPECTIONS <br /> Cause Description Action Taken Prevention Taken <br /> no readings detected <br /> • <br /> Parts and Labour Details <br /> Part No Part Description Issue Type(D/I) UOM Qty Used Qty Returned <br /> "D=Direct Issue,I=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 /> • <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 /> Caoyrfam cw sys.BomW <br />