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10 ON Bo.%- 1637 <br /> aggio Car-lsba(l, CA 92018 <br /> SolvOire Phone:(866) 765-8663 <br /> aintenance Office: (760) 839-9002 <br /> Fax: (760) 839-3740 <br /> onstruction Lie#888681 <br /> C INC <br /> Service Call <br /> CONTACT INFORMATION <br /> Facility Name: -T-4-4 :a C,%A. S Q L k- Date: .1 G <br /> Site Address: City&Zip Code: 1�! <br /> Facility Contact Person: <br /> Contact Phone Number: Z u�j - S <br /> Date of Servicing: '7 - ?—I- IQ Name of Service Technician: CA <br /> Time in: Time out: -I s- <,,,a 51 <br /> Priority Number: 1 Pf 2 X 3 El 4FJ Called In By: <br /> I WORK REQUEST <br /> REQUEST IS FOR (Check all that apply): Call ID# 'S'j � — PO# <br /> r-1 POS'A ISDE]Dispenser[:]Nozzles 7 Hoses F-113reakaways []Whip Hoses 0 PlumbingEl Lighting <br /> El Restrooms ❑Filters FlCanopy f-]Electrical [I Car WashEl Air/Water Units El Sprinklers ElTurbines <br /> []Leak Detectors E]Other(Please describe) A C.1 1) So <br /> NOTES: <br /> R 0".4 W.N'I ilk, i kiI "01 1- iAd 12 4(.;4u <br /> C A; --'�I T17 M A e// 1A'/14-4Z <br /> Alt <br /> Is work from a previous Work order YES X NO Job Uncompleted ❑ Equipment Needed Eg Job Completed <br /> Previous Work Order Number: Is there equipment to be ordered? El YES ;X NO <br /> Final Completion Date: -7/ 24//V (Approximately) Approval Needed: El YES W-NO <br /> Please provide equipment to be ordered: <br /> JOB SUBMISSION <br /> How was main office notified? (Please check all that apply) [I Email EjFax (if faxed, have fax confirmation for file) <br /> ❑service@ dim aggiom aintenance.corn M lori@dimaggior-naiiitetiarice.com [1 (760) 839-3740 El (760) 635-5985 <br /> TECHNICIAN QA iL\o%sSITE REPRESENTATIVE <br />