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&NIPION PRECISION TESTING, 10. <br /> JOB ORDER& WORK REQUEST FORi1I <br /> Site Name: Charter Way Address: 508 Charter Way City: Stockton 95205 <br /> Chevron <br /> X Street: Site Phone: 209-922-1734 Site Contact: Rinku <br /> Bill To: Address: Phone. <br /> Attention: Fax: <br /> Scope of Work Requested. <br /> [X] Monitor Certification [X] Spill Buckets [X] Leak Detectors <br /> [ ] Secondary Containment [ ] Tank Test [ ] Line Test <br /> [ ] Cathodic Protection [ ]TP201.3 Decay [ ]TP201.4 Blockage <br /> [ ] TP201.5 Air to Liquid (AIL) [ ] TP 201.36 AST Decay [ ] TP 201.16 Torque <br /> [ ] TP 201.1 CID Drop Tube Integrity [ ]TP 201.60 /TP 201.6 [ ] Designated Operator <br /> [] Other: <br /> Job#: 101807AM02 PO Authorization#: <br /> Date of Test Technician Name Start Time End Time Travel Time Miles <br /> 10118107 Al Milburn 9:00 AM <br /> Test Performed Price Quote Parts Used Q Parts Price <br /> Monitor Cert <br /> 4 Spill Buckets�a <br /> Leak Detectors <br /> UST Permit# Air Permit# CUPA Air <br /> ## anks: # Dispensers: # Nozzles:-9 Products: <br /> SW MFG: MFG 1 Model: �56 . <br /> '_.) Y mos Other: <br /> Phase 2 Type: Phase 1 EVR: EM Type: #Spill Buckets <br /> '3P-t QI'L,-> L, >, 3�5_DR 3 <br /> Technician: r� h} Helper: —� <br /> Test Day: `fi Test Date: v�°r 4 a`� Test Time: c) " c�cv <br /> Comments: Any parts replace must be signed forby o e f manager f Facility. <br /> *Facility inspected by ownerlmanagerlemplo nfyi th erything is as when arrived on site. <br /> Manager/ Dealer Print Name iota er, eater Sitonature Date <br /> Scheduled by: Chuck Hill Date: July, 2007 <br />