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ELM IV CONTRACTORS Work Order <br /> 2535 Wgwam Dr. State Lio.#1001331 <br /> Stmicton.CA 95205Y <br /> -6 <br /> (209)461337 Fax(209)461-6U2 Ref: <br /> FABATE <br /> JOBNAM' PUMP TEST HOSE 0 <br /> JOB SITE MONEY TOTAL <br /> '71 <br /> TOFfAl,GALLONS <br /> ORDERED BY TOTALIZER BEFORE <br /> TOTALIZER AFTER <br /> DE80MPT*N OF WORK DONE <br /> j <br /> IL <br /> C <br /> -.A <br /> AWO�EW <br /> V.Scount Of 7: <br /> 9 44 G;8 <br /> Nuu v <br /> ENVIRONMENTAL. HEALTH <br /> DEPARTMEN <br /> I HE <br /> REGY ACKNOWLEDGE COMPLETION OF THE ABOVE DESCRIBED WORK A <br /> SIGNATURE <br /> MATERIAL AND LABOR RiCORD <br /> QTY MATEIUAL USES? PRICE AMOUTKt TECH, SM IN SIT11 011T IM RATIE "MOST <br /> AM <br /> AM AM <br /> vm_ <br /> AM <br /> MS <br /> PM <br /> rm <br /> AM AM <br /> PM fti <br /> AM AM <br /> Pp( <br /> TRAYSL T%ff <br /> TOTAL MELAGE <br /> COMPLEfEP oz-YES GRANO TOTAL <br /> --NO WARRAff"WORK-y" <br /> CF"CG COPY F4 <br /> CAAFtY-FILE ttWy CUSTOwEig CO*Y <br />