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WORK ORDER_ • ,�lu �w�s... .` <br /> Work Order No : 0000017454 Work Trade Inspection <br /> Work Order Status : Closed Work Type : Preventive <br /> Work Priority: Normal <br /> Received by: Brian Newport Assigned to: Jorge Macias <br /> Received Date/Time : 3/17/2014 <br /> Requester <br /> Required Date/Time : Phone Number: <br /> PM Target Start Date : 3/18/2014 PM Target End Date: 3/24/2014 <br /> Problem Description : 'Tank linspections R IV D <br /> Notes To Technician Notes to Technician AUG 14 2014 <br /> (Asset) (location) <br /> Failure Code : - Checklist No : 194 ENVIRONMENTAL I IEALTH <br /> Asset No: 9050DEPARTMEN <br /> Location No : 8600 <br /> Asset Name : Tank Inspections Location Name : SAFETY EQUIPMENT& <br /> INSPECTIONS <br /> Cause Description Action Taken Prevention Taken <br /> paperwork stapled on back <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 /> ..ig.................... <br /> Signature <br /> Date: Time: Date: Time: <br /> Please rate our services:- 1. Poor 2. Fair 3.Good 4.Very Good 5.Excellent <br /> Ca flgm cw0ft srse,ee eeMW <br />