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CA ' <br /> LIFORNtA WASTE WATER MANAGEMENT l <br /> ,Q2 •ccc <br /> P O BOX 188410 ip1 m io <br /> SACRAMENTO, CA 95818 <br /> WORK ORDER Numt�er: j 74 <br /> Opened: 7/8/2010 <br /> #5773, CHURCHIS CHICK— <br /> EN <br /> 8023 WEST LANE,STOCKTON CA 95210 ID: 67 Phone: <br /> Work: (2Q9)475-1547 <br /> Reason for Service: e <br /> / Ger <br /> GREASE TRAP SERVICE V 1500 GALL <br /> a <br /> i <br /> Instructions to Technician: <br /> SVC TIME EARLY MORNING ►*4? T rc;t. <br /> r <br /> *CALL BEFORE SVC, HAVE MGR SIGN MANIFIESTAND LEAVE A COPY WITH THE MGR** <br /> Service Call Information: Scheduled: 11/2/2010 <br /> :Date 1 Time: t(f )-5 1<� Subdivision: REPEAT 3 TIMESNEAR <br /> ' Service Performed: Brand: CHU5773 <br /> CONTACT TINA/AURORA <br /> PRINT NAME <br /> SIGNATURE <br /> Optional-Tear on dotted line and gime to Owner Date Closed: Acceptance of Service: <br /> Ilnnu1ul11u1nn1unl■1nnnluunnulnu■■uun■nn1/nlllnnlnnennuu••1111/1//1111■/■]/11■ Dwaeeswra <br /> 1[1111■111/1111111/It1/1111111111111]1■1111 IAA 111l111l1/111[1111 <br /> CALIFORNIA WASTE WATER MANAGEMENT <br /> P O BOX 188410 �y; �G-- <br /> SACRA M ENTO,CA 95818 <br /> WORK ORDS FOR: (800)987-4541 Number. 74 <br /> Customer: #5773, CHURCH'S CHICKEN Customer Ira: 67 <br /> Address: 8023 WEST LANE, STOCKTON CA 95210 Date Opened: 71812010 <br /> Date Closed: <br /> Invoice No: I <br /> .j <br /> Reason for Service: , Amount Due <br /> GREASE TRAP SERVICE 1.500 GALL <br /> I ; <br /> Service Performed: <br /> CONTACT TINA/AURORA <br /> PRINT NAME <br /> SIGNATURE <br /> Service Date I Time: Service Tech: VENIANIM M. <br /> t' <br /> �E 'd BQSb 16(;916 <br /> XU--J 13rN3Sd1 dH WdSZ :2 T T 0;E! TO uer <br />