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04/27/2007 12:51 12094728604 SAFEWAY 2707 PAGE 03/03 <br /> Service `' 680 Quinn Avenue Work Order # <br /> ' on San Jose, CA 95112 <br /> station . 924886 <br /> stn ton Inc. (408) 971-2445 Fax (409) 971-0135 <br /> Rc>�rence#: 7070580 CA State Lic. No- 485184 <br /> Bill To: q„fpvdny Inc Date: Apr 13 2007 <br /> Brand Name: gafeway Inc Station #: 2707 PO/Release #: 27070580 <br /> Address: 64-:)S N Pacific AveQ Central CL SSSI Ref. #: 350815 <br /> City: Stockton, CA 95207- Assigned To: SSS-1-imR <br /> Category: Tani-en lntam Component: F;p id Failure: pal-,iaoprn <br /> Item#; Tank#01 RI Note: replace gaskets Action: <br /> Part.k Parts Description: Qty: Warran /DOA Price: Amount <br /> Ltd fiberglass a7.1/21n IIIIIIIIiININIIIIl <br /> TA14�9 Western -_ <br /> rr' JLid, Retrofit, f� edua04367 . T" eternIIIIIIIIIIINIln IIIII �) <br /> i 04521NSber9TA18d130 112 zOrWeeCernLlp IIIIIIININIInNINNI r <br /> Illlllnl�lllllllmlll <br /> r�7 gasket, Observation Port, 121n <br /> 04522N / OOCL12-DSK CNI <br /> l Notes: 14,A <br /> II Travel Total TIOT <br /> Hours. Haute: Hours: <br /> Label'Rale Amount <br /> � <br /> Date: 41/eq Tech`` Start: AM t Ste, :j�" 4 P/ Z 1 t <br /> AM AM <br /> Date: Tech: Start: PM StOp: PM <br /> Category: ' I Component: I Failure: <br /> Item #: Note: Action: <br /> Part#: Parts Description: Qty: Warranty/DOA Price: Amount <br /> Lid 043119N1b�rgTAi4,937 ,/21n Western IlllllNlplllllllllIII <br /> r r <br /> Notes: <br /> labor 'Travel Total T/OT <br /> Hours liourn: L13W net. Amnunl <br /> AM AM <br /> Date: Tech: Start: PM Stop: PM <br /> AM AM <br /> Date: Tech: Start: PM Stop: PM <br /> 6omellmae one eervlw call does not resolve all spetihL pmbl dun to delochvP egolpnem or it,". 1tlenl Subtotal Metedels s <br /> problem;mi,preeent or which cant be(IMI eted when our Servicd Te ii M your pmmlu n.so'. <br /> dquipormi mqul...ramnvnl on One ft.In house repstlr.ens snot HP to e s will be nndo <br /> tar each service,=it at mann in annct ni tion H eervlca.we,ther�M� a to to ell p,,blerne Mlbogn �ei S Marks s <br /> on me service 090.Time"Amv ld'antl tlme'�ephdntl'axOrdOd by will be the pulrlellne <br /> tread In mcordwim o1 Onnur(love and charges. 1111v SuhtaHl Lahar S Set.Tax S <br /> IV <br /> It Is the custonnr's rospoonlbllXyto nch and verily tune.a recorded on M nvplce by our service TedvSlGan while Total Lebor/Travel S Twat MaterielsI <br /> halaha W On your premises,We cannot antl win not altar an limo ahngraa billed Aenr our Sorvlea TaOhnlclan M1an <br /> Inh your prann ees. <br /> I Understand&ace lit all to s,9,condin4ns as outlined on workorder. <br /> } 1 Vr <br /> -' <br /> PLEASEPI BY INVOICE-T RMS NET 10 DAYS Total invoice 4% <br /> Visit us at www.servicestationsystems.com <br />