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rI <br />WALTON, , <br />P. O. Box 1025 <br />3900 Commerce Drive <br />West Sacramento, CA 95691-1025 <br />• <br />9163721888 PH <br />9163731172 FAX <br />CA Contractor's License # 617238 <br />Customer <br />Job Location <br />Work Order # <br />40998 <br />Boyett Petroleum <br />H & M Market (BW #98) Z1 <br />Scheduled Date: <br />7/13/2011 <br />601 McHenry Avenue <br />2501 E. Jackson Ave. <br />Scheduled Time: <br />8:00:OOAM <br />Modesto, CA 95350-5411 <br />Escalon, CA 95320 <br />Contact: <br />13:30 <br />Customer PO# : <br />BW #98 <br />Phone: 2098383971 <br />Facility: <br />W31095-098 <br />Station # <br />Contract # <br />Annual Compliance Test <br />Work Performed: <br />7/13/11 Performed annual certification of the monitoring system with passing results. MSC test water was left on site in <br />owner supplied drum. The shear valve for the 91 product in dispenser 3-4 was leaking from the plug. We removed <br />the plug, wrapped it with teflon tape, applied pipe dope and reinstalled. Shear valve was put under pressure and <br />verified that it is no longer leaking. <br />Drum Date: 6/9/11 <br />Drum Level: 1/2 Full <br />Date <br />Technician <br />Arrival <br />Departure <br />Date <br />I I echnician <br />Arrival <br />Departure <br />7/13/11 <br />Cullivan; Joshua G. <br />08:45 <br />13:30 <br />7/13/11 <br />Wadkins; Jessie J. <br />08:45 <br />13:30 <br />Customer Signature <br />Store Stamp & Signature <br />