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Champion P.O. Boz 13059 <br /> I I I Sacramento, CA 95813-3059 <br /> Precision Tank Testing CA 800-660-9443 <br /> License No. 13848 <br /> -9443 <br /> O NEV( 16) 92 -1557 <br /> (916) 927-1557 <br /> Fax: (916) 927-7345 <br /> Date: <br /> Operator: <br /> Location: 15 00 S. Tiarldn Road/Lathrop. Calif. <br /> Phoned: 1-510-443-7100 <br /> SERVICE INFORMATION FOR: <br /> Requested by: fi WorkOrder #: <br /> Problems reported:_ mt�) S Y <br /> Materials used on job site : <br /> Corrective Action performed: <br /> Odometer Beginning: t C Departure Time: t9Edo <br /> Odometer Ending: Arrive 1� Arrive @ Job Site: 07.30 <br /> Total Mileage: Depart Depart From_ Job Site: � oo <br /> Return Time to off ice:og06 <br /> -Total Time: 3 <br /> Technician: Acknowledged by: <br /> 4 <br /> Date• Date: <br />