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- WORK ORDER A <br /> Work Order No : 0000005438 WorkTrade : Inspection <br /> Work Order Status : Closed <br /> Work Type: Preventive <br /> Work Priority: Normal <br /> Received by : Christopher Torre Assigned to : Michael Carr <br /> Received Date/Time : 1/17/2012 Requester: <br /> Required Date/Time : Phone Number: <br /> PM Target Start Date : 1/24/2012 PM Target End Date: 1/ D <br /> Problem Description : 'Tank linspections L� <br /> r <br /> AUG 14 2014 <br /> Notes To Technician Notes to Technician <br /> (Asset) ' (location) ENVIRONMENTAL HEALTH <br /> DEPARTMENT <br /> Failure Code - Checklist No : 194 <br /> Asset No : 9050 Location No : 8600 <br /> Asset Name : Tank Inspections Location Name: SAFETY EQUIPMENT& <br /> INSPECTIONS <br /> Cause Description Action Taken Prevention Taken <br /> Tanks inspected and checklist added to binder. <br /> • <br /> Parts and Labour Details <br /> Part No Part Description Issue Type(D/i) UoM Qty Used Qty Returned <br /> "D=Direct Issue, I=inventory <br /> Employee Name Employee No Start Date/Time End Date/Time Normal OT 1 OT 2 OT 3 <br /> Date and Time work was started Date: Time: <br /> Date and Time work was completed: Date: Time: <br /> Certification of Work Completion <br /> Name and Signature of Technician/Engineer Name and Signature of Requestor/Supervisor <br /> ......................... Name ......................... Signature ......................... Name <br /> ......................... <br /> Signature <br /> Date: Time: Date: Time: <br /> Please rate our services :- 1. Poor 2. Fair 3.Gocd 4.Very Good 5.Excellent <br /> CWydgM cwmys systems Bedtad <br />