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LN Work Order Jobs. 339542 Contractor License: 485184 PO # : 3382477 Ref # : 3382477 Category : Tanks-Lines Unit# : 03 Component: Turbine Relay Item ; TANK Failure : Damaged-Worn Serial# : Repair Replaced Same Model Task# : 11 Enter Date/Time of Service (Military Time): 10-25-2019 08 : 00 The following data was recorded by (Tech Mike Smith First/Last Name): Reviewed Site Maintenance Log AND Alert COMPLETE Issue reported is for grade: PREMIUM Service History for recent service : Confirmed Sensor(s) in lowest position : CONFIRMED Waste Disposal left on site: NO WASTE GENERATED Attached picture of waste drum label with an NOT REQUIRED While addressing this task I created and No alarms created accumulation date clearly written : cleared the following new Monitoring System alarm (s): Update Site Maintenance Log, TAKE COMPLETE Name of person site keys returned to OR Did Did not use PICTURE and attach picture to job : Not Use : The status of this task is : CLOSED - COMPLETE Brief Summary of Repairs or Additional Replaced worn Details: product relay on 91 grade Category: Tanks- Lines Unit# : Component: Mech Leak Det. Item : PERMIT Failure : Permit Inquiry- Environmental Serial# : Repair: Not Required Task# : 12 Labor and Travel Start Date Tech Name Travel Labor Total Hours 10/24/2019 7 : 30 AM Mike Smith 0 . 50 3 .25 3 .75 10/25/2019 7 : 23 AM Mike Smith 1 ,25 7.50 8 .75 10/25/2019 7: 30 AM Samantha McMahan 2.25 5. 75 8 .00 Totals : 4 .00 16. 50 20.50 Parts and Materials Entry Date Description Qty 10/24/2019 I Kit, O-Ring, Turbine, AIG 1 .00 10/24/2019 Check valve, Preset 1000 10/25/2019 Relay, Product Contactor 1400 10/25/2019 Assy, Yoke, w/Electrical Plug 1.00 10/24/2019 Leak Detector, Mechanical 1.00 10/25/2019 Permit Agency Charge 1 .00 10/25/2019 Permit Inquiry Fee 1 .00 i j i i I Report Date : 11/ 1 / 2019 8854 : 14 AM PST Page 4 of 5 E I k