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I <br />8767 W31020-152 41100 I <br />7/22/11, <br />wo <br />FkOT�( Re <br />SC Repair and Retest - 87 SC. <br />0 INVOICE <br />Invoice Date Invoice <br />July 28, 2011 67794 <br />Facility:, <br />Quik Stop Market #152 Z1 <br />1721 S. Cherokee Lane #1 <br />Lodi, CA 95240 <br />;ontract Type Te <br />Test - Repairs Net 20 <br />7/22/11 - SC restest complete. The Gasoline - 87 SC / Fill bucket was replaced and retested with <br />Inspector present with PASSING results. <br />- Safety Meeting: Ryan Powell / Curtis atwood <br />Topics of safety and scope of work discussed prior to start at facility. <br />- Replaced broken / missing lag bolts on both the Fill and Vapor bucket fastening to manway. <br />- Liquid Drum: <br />Solid Drum: <br />- This job is complete. <br />Quanti!y <br />besceiption Walton ,#, <br />Unit Price. <br />'Total <br />WALTON <br />4.00 <br />Test Technician - Regular <br />ENGINEERING, INC. <br />260.00 <br />4.00 <br />Test Assistant - Regular <br />55.00 <br />220.00 <br />Other <br />P.O. Box 1025 <br />-41 <br />440.00 <br />440.00 <br />1.00 <br />West Sacramento, CA 95691 <br />4.10 <br />4.10 <br />1.00 <br />Permit Fee <br />(916) 372-1888 <br />366.00 <br />1.00 <br />Flange bolts <br />4.25 <br />CA Contractors License #617238 A, B, Haz <br />Material <br />1.00 <br />301 -11011 Spill Container, Fill MP [Old Style] 301-11011 <br />481.98 <br />481.98 <br />1.00 <br />301-11904 Nipple, 4" X 4" 301-11904 <br />Invoice'T& <br />19.30 <br />ILI <br />301-14011 Cap, 4" Fill, EVR 301-14011 <br />U1011 <br />31.18 <br />Quik Stop Markets, Inc. <br />309-31100 Sealant 309-31100 <br />13.95 <br />13.95 <br />Material Subtotal <br />4567 Enterprise Street <br />LT :0 <br />C.) <br />U <br />Fremont, CA 94538 <br />Is <br />8767 W31020-152 41100 I <br />7/22/11, <br />wo <br />FkOT�( Re <br />SC Repair and Retest - 87 SC. <br />0 INVOICE <br />Invoice Date Invoice <br />July 28, 2011 67794 <br />Facility:, <br />Quik Stop Market #152 Z1 <br />1721 S. Cherokee Lane #1 <br />Lodi, CA 95240 <br />;ontract Type Te <br />Test - Repairs Net 20 <br />7/22/11 - SC restest complete. The Gasoline - 87 SC / Fill bucket was replaced and retested with <br />Inspector present with PASSING results. <br />- Safety Meeting: Ryan Powell / Curtis atwood <br />Topics of safety and scope of work discussed prior to start at facility. <br />- Replaced broken / missing lag bolts on both the Fill and Vapor bucket fastening to manway. <br />- Liquid Drum: <br />Solid Drum: <br />- This job is complete. <br />Quanti!y <br />besceiption Walton ,#, <br />Unit Price. <br />'Total <br />Labor <br />4.00 <br />Test Technician - Regular <br />65.00 <br />260.00 <br />4.00 <br />Test Assistant - Regular <br />55.00 <br />220.00 <br />Other <br />1.00 <br />Test, Repairs/Retest <br />440.00 <br />440.00 <br />1.00 <br />Jack Screw bolts <br />4.10 <br />4.10 <br />1.00 <br />Permit Fee <br />366.00 <br />366.00 <br />1.00 <br />Flange bolts <br />4.25 <br />4.25 <br />Material <br />1.00 <br />301 -11011 Spill Container, Fill MP [Old Style] 301-11011 <br />481.98 <br />481.98 <br />1.00 <br />301-11904 Nipple, 4" X 4" 301-11904 <br />19.30 <br />19.30 <br />1.00 <br />301-14011 Cap, 4" Fill, EVR 301-14011 <br />31.18 <br />31.18 <br />1.00 <br />309-31100 Sealant 309-31100 <br />13.95 <br />13.95 <br />Material Subtotal <br />546AI <br />Thank you for your business. <br />Subtotal: 1,840.76 <br />Sales Tax 390 @ 7.76 % - 43.00 <br />Mmfftl nel®• 7 RR't 79 <br />