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by WORK ACKNOWLEDGEMENT FORM <br /> IZZE- MAINTENANCE TICKET NO . (� Zj5 Z� `� DATE / 0�7, f <br /> n � <br /> FACILITY NO. & ADDRESS j r � t�l ?,e, ANJ~e1 <br /> CONTRACTOR COMPANY NAME Gettler- Ryan Inc , <br /> 6885 Siend Cum , Suite <br /> UA <br /> SERVICE REQUESTED ON E-TICKET: OublIn ' 68 <br /> � C.014. e;\,MrA NP � � LEE' <br /> �y, - - <br /> WORK PERFORMED ONSITE (for parts replaced, provide part name ( s), part number ( s ) & quantities, as applicable) : <br /> a �, 1 5 � � ve rw \YJ a 1 111 la r 5� � <br /> job � . � Ya � d C �avtio I 1cto5 ( <br /> �fiP r7 �� ► r5�'a� l tv 0GV45 , 1 , (- +,116 <br /> I6 3 i w sh e. L ILt <br /> k �Z " (Neaea SeC4 JC4 as / A ploce , 1So <br /> a I <br /> ,lo - } IV) S V > vtin cooveio ej 6nC.:j r&A5141bIl <br /> to et LLS 16 ILi., lc� cti C {`e� <br /> AD ) )1-5-�� I 1pc� c . L5 lbw° o Ca <br /> WAS THE REQUESTED WORK COMPLETED? ( circle one) NO <br /> IF NOT, ESTIMATED RETURN DATE ? AND PROVIDE DETAIL BELOW ON WHY <br /> s — <br /> r—� <br /> 5 FEB Y 7 2021 l u ) I <br /> ARRIVAL TIME I f DID YOU CHECK INTO THE BP IVR? ( circle one ) Cy NO <br /> DEPARTURE TIME Ll ( �` DID YOU CHECK OUT OF THE BP IVR? ( circle one) YES NO <br /> NO . OF PERSONNEL ONSITE <br /> 16e, t <br /> TECHNICIAN NAME (MINT lEGI LY) SITE PERSONNEL ( N LEGIBLY) <br /> TECHNICIAN NAME (ON ) SITE PERSONNEL (SI N) <br /> DISTRIBUTION ; WHITE-CONTRACTOR COPY / YELLOW-SITE COPY <br />