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WORK ORDER I <br /> Work Order No : 0000016645 WorkTrade. Inspection <br /> Work Order Status: Closed Work Type: Preventive <br /> La Work Priority: Normal J <br /> =Received <br /> y: John Davis Assigned to: Jorge Macias <br /> e: 1/17/2014Requestere: Phone Number: <br /> : 1/21/2014 PM Target End Date: 1/27/2014 Al ,blem Description : Tank linspections -©E " g, <br /> NotesToTechnician AUG 14�-2014 <br /> Notes to Technician <br /> (Asset) (location) <br /> ENVIRONMENTAL HEALT <br /> Failure Code : - Checklist No : 194 DEPARTMENT <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 /> finished this in feb 2014 <br /> l_. <br /> Parts and Labour Details <br /> Part No Part Description Issue Type(D/q UoMQty Used Qty Returned <br /> "D=Direct Issue, I=Inventory <br /> Employe7NamelEmployee 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 EDate: <br /> ure of Requestor/Supervisor <br /> •................ Name ......................... Signature Name <br /> ......................... <br /> Signature <br /> Date: Time: <br /> Time: <br /> Please rate our services:- 1. Poor 2. Fair 3.Good 4.Very Good 5.Excellent <br /> Cap V1 C oM1s systems 9emaet <br />