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0 <br /> 2533 Connie Unve • """""""""""" """'"'"""'""`"" <br /> Sacramento,CA 95815-2809 Federal ID#68-0110167 <br /> Customer Job Location wo#122040-1 Work Order# 122949 <br /> Emil's Texaco Emu's Tome ti Chevron#305067 Date Received: 7aCou 41)cite Thomas Chaeko Thomax <br /> 1405 California Ave 1405 CaMornla Ave Contact: <br /> Esealon,Ca 95320 Escaion,Ca 95320 Customer PO# emilstex <br /> 209-838-7674 209538-7674 <br /> Station# <br /> Work to be Performed: coafted Space Site-2 Mtn or 1 M= <br /> �gttetrre;.bll�/11n pain•SCatlaa-Otwbr wre POST li}attwts-L rtllalN ti ratan S4}ut as POSu it}evret}ribnt <br /> PII-Tower reglAW down,wID net read floppy.#4 preps'mooing over RegWer#PA0301(t1(K)201 <br /> Work Performed: A1,A111 J EQ Io cam Mrs <br /> , <br /> J <br /> Pending P/mblems: � i.�/o. — <br /> n+ Ll I`� KJ� IG. Q (✓aI-C n I U✓l� ✓'T'' Jam.. <br /> Parts Used <br /> Qry Pan# MI} nae New Serial# Corc Pang Cort SCuwN EQ ID Fault Crory .Action <br /> Data Tech On SiteTime Store Stamp&Signature <br /> It Initials <br /> Arrival Departure /Y <br /> Office Use Only: ; <br /> Signature: //Pont Name: <br /> Subject mL and eondtuwot&n back hereof. <br /> Data Entered? Yes❑ Notice:A Finance Charge of 1 1/20/0 M month,which is an annual pert:entage rate of 18%,will be <br /> MOB epo Yea❑ charged on past due accounts over 30 days. Contractors are regltired by law to be licensed and regulated <br /> ed to the <br /> Monitor ReportNeeded Yes❑ No O Yes 0 No 0 Ragistrar ohe f Contractor's <br /> whoa addr�is Any <br /> gtractor's Staestions cie�ense Board 9835 tractor Wd a-P.O.Box <br /> Job Complete Yes❑ No-❑ 26000,Sacramento,CA 95826 <br /> White(Eme)// Blue(Emc Pending) Green(customer copy) <br />