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• WORK ORDER • <br /> Work Order No : 0000009244 WorkTrade: Inspection <br /> Work Order Status : Closed Work Type : Preventive <br /> _ Work Priority: Normal <br /> Received by: Christopher Torre Assigned to : <br /> Received Date/Time: 9/27/2012 Requester <br /> Required Date/Time : Phone Number: <br /> PM Target Start Date : 10/2/2012 PM Target End Date: 10/8/2012 <br /> Problem Description : Tank linspections <br /> Notes To Technician Notes to Technician <br /> (Asset) (location) AUG 14 2014 <br /> Failure Code : - checklist No: 194 ENVIRONMENTAL H LTH <br /> Asset No: 9050 Location No : 8600 DEPARTMENT <br /> Asset Name : Tank Inspections Location Name : SAFETY EQUIPMENT& <br /> INSPECTIONS <br /> Cause Description Action Taken Prevention Taken <br /> • <br /> Parts and Labour Details <br /> Part No Part Description Issue Type(D/1) UoM I Qty Used Qty Returned <br /> TM 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 /> Signature <br /> Date: Time: Date: Time: <br /> Please rate our services :- 1. Poor 2. Fair 3.Good 4.Very Good 5.Excellent <br /> CoNdgm CwukS syg m$ftnw <br />