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HMC <br />CSLB License 856771 <br />Henderson Maintenance Company <br />PO Box 31325 <br />Stockton, CA 95213 <br />(209) 467-7573 FAX: (209) 4654988 <br />Site <br />PER DEPA - MUST PAY NOW <br />76 - Manteca. <br />'STATEWIDE PETROLEUM <br />1700 E Yosemite Ave <br />Manteca. CA 95336 <br />(209) 823-7676 <br />Customer Order # SR0063085 <br />Date Work Order # <br />8/11/2011 <br />Technician <br />Gavin 1007 <br />BAs .75 <br />QTY <br />ITEM <br />DISCRIPTION <br />Service Request <br />MLLD Certification. <br />...Service Call... <br />I <br />Labor <br />8-I1-11 9:45a Certified 91 MLLD. Tests Passed. 87 MLLD was tested on day of MC per <br />Michelle Henry. <br />0.75 <br />.Travel <br />Travel <br />Sales Tax <br />Unless otherwise provided by law, the seller (Henderson Maintenance <br />Company) hereby disclaims all warranties, either express or implied, <br />including any implied warranty of merchantability of fittness for a particular <br />purpose, may use other than OEM parts and neither assumes nor authorizes <br />any other person to assume for it any liability in connection with the sale of <br />said products. <br />Owners authorized representative signature <br />/,'II <br />Date <br />