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p WORK ACKNOWLEDGEMENT FORM <br /> '2- <br /> E-MAINTENANCE TICKET NO; /0� S� 27— Ll/1( DATE Z Z <br /> FACILITY NO.&ADDRESC $� L� c-�jr.c i.�-� �4.�L.f <br /> oLf <br /> CONTRACTOR COMPANY NAME Gettler-Ryan Inc. <br /> ESM Sierra ou ulte <br /> SERVICE REQUESTED ON E-TICKET: Dublin, CA 94558 <br /> L; ale r �,4 me-i s/ <br /> WORK PERFORMED ONSITE(tor parts replaced, provide part name(s), part number(s) &quantities,as applicable): <br /> fH <br /> d (mss ��- <br /> �lf� .Y'!_•{y.-.,__ ��/l�/ri rS -��►,� r�.a..c� �-o lAe- r�•c.e._ - -- <br /> �h C/u r.�c� � G�G�•��1s ��i 9'r_c r r.E' ,� ��c� �j �J <br /> �''+ t' <br /> _— L4__N C l✓L se` dt.�c c iii Lfr,a.l wv etk,— <br /> La lc ! a t( Cecrf_ <br /> ytSZ� F r- f l rr <br /> WAS THE REQUESTED WORK COMPLETED?(circle one6&S <br /> IF NOT,ESTIMATED RETURN DATE? ` AND PROVIDE DETAIL BELOW ON WHY <br /> r-, r'j <br /> , L- <br /> ,� FEB 15 2021 <br /> ARRIVAL TIME �S'�`LJ�S- �"` DID YOU CHECK INTO THE BP IVR?(circle one) fS NO <br /> DEPARTURE TIME 1� �� (�[� DID YOU CHECK OUT OF THE BP IVR?(circle one) NO <br /> NO.OF PERSONNEL ONSITE <br /> e-D <br /> \ A�r <br /> L <br /> TECHNICIAN NAME(PRINt LEGIBLY) SITE PERSO P ! iEGIBLY <br /> TEC AN NAME(SIGN) SITE PERS NE (SIGN) <br /> DISTRIBUTION:WHITE-CONTRACTOR COPY / YELLOW-SITE COPY <br />