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•_ WORK ORDER • <br /> Work Order No : 0000017802 WorkTrade Inspection <br /> Work Order Status : Closed Work Type : Preventive <br /> L. Work Priority: Normal <br /> Received by: Brian Newport Assigned to : Jorge Macias,Curt Bowen <br /> Received Date/Time: 4/14/2014 <br /> Requester: <br /> Required Date/Time : Phone Number: <br /> PM Target Start Date: 4/15/2014 PM Target End Date: 4/21/2014 <br /> Problem Description : Tank linspections T <br /> AUG 14 2014 <br /> Notes To Technician Notes to Technician <br /> (Asset) (location) <br /> ENVIRONMENTAL HEALT <br /> Failure Code : - DEPARTMENT <br /> 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 /> Parts and Labour Details <br /> Part No Part Description Issue Type(D/1) 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 /> • <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 /> Ca Nhlcw sym.e Mw <br />