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• ._WORK ORDER • <br /> Work Order No : 0000012136 WorkTrade : Inspection <br /> Work Order Status : Closed <br /> Work Type : Preventive <br /> Work Priority: Normal <br /> Received by: Christopher Torre Assigned to : Christopher Torre <br /> Received Date/Time: 3/15/2013 Requester: <br /> Required Date/Time : Phone Number: <br /> PM Target Start Date : 3/19/2013 PM Target End Date : 312512013 <br /> Problem Description : Tank linspections RECEIVED <br /> Notes To Technician Notes to Technician AUG 14 2\1114 <br /> (Asset) (location) <br /> Failure Code : - Checklist No 194 ENVIRONMENTAL H ALTH <br /> Asset No : 9050 Location No : 8800 DEPARTMENT <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(D1 p 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 /> •................ Name ......................... Signature ......................... Name <br /> ......................... <br /> Signature <br /> Date: Time: Date: Time: <br /> Please rate our services :- 1. Poor 2. Fair 3.Good 4.Very Good 5.Excellent <br /> Co rigor cw Systems 9ftW <br />