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5-25-05; 9:50AM;Sacramento EMC ;916 9252816 # 5/ 5 <br /> SACRAYNNTo EQUIPMENT MAINTENACOMPANY,INC. 46 (916-925-2716)(916-925-2816 fax) <br /> 2533,Coaie Drive CA Contractors'License#502377 <br /> Sacramento,CA 95815-2809 Federal ID#68-0110167 <br /> Customer Job Location wo#119309A Work Order# <br /> 7-Eleven,Inc. 7-Eleven#32190//Chevron#301607 Date Received: <br /> %Jeff Simonson 4943 South State Route 99 @ Arch Road 05-12-05 13:3 <br /> 2339 GoldMeadcrw Way#101 Stockton,CA 95602 Contact Keels(27/11 <br /> Gold River,CA 95670 209-939-0679 Customer PO# 0505122341 <br /> 800-828-0711 Station# 223513219013 160 <br /> Work to be Pperforated: ove: to one RubyltzbellfeM 6xten a c0nn90t(Call RAN Support)(effective 07123/03) <br /> PI-Thutedap-#516 shear valve emergency fuel in dispenser pan;See inspection list//05-13-05 is pm sr-Lee to follow up 1105-1845 cr/d - <br /> Sea1s on,product line for(W)STP camp needs seals and 316/6 dispenser needy m)product Bae shear valve <br /> LQID Gmdo Mfg Mold Snial <br /> ,oL <br /> 6>,91 2Y - <br /> ) 1j ) ... <br /> S lrAAA?'b 'A cir -.r`st :fyam— 012 <br /> F` <br /> cal y Js Ipi LA h ii . <br /> �Kt ,'I �-.�7,41d°�1i' <br /> Parts Used -I <br /> _v,�:hr,�w.�sip,.a <br /> Qry pang Mfg Desc dew Smdk Ca ?e # Cmnsenig EQ ID Fa , Comp Aaiun <br /> 11 1 II <br /> a�nl _ <br /> r3ha f k 1h �i On Site 'me Store Stamp&Signature <br /> r �rlrSrrivel Departure. 91•Z46 •1J <br /> a. ! 66-US 111lc . .'iFGf <br /> (�66Zf, 1• . i <br /> Ofce Use Only: <br /> -- SignaNre� ehrwf.Subject to t atmandconditionsonbac _ <br /> Data Entered? Yea❑ Notice:A Finance Charge of 1 1/2%per month,which is an annual percentage rate,of 18%,willbe <br /> MOB Yes❑ charged on past due accounts over 30 days. Contractors are required by law to be hcemed and regulated <br /> W+M Re rt Needed? Yes❑ No ❑ by the Contractor's State License Board. Any questions concemmg a contractor may be referred to the <br /> Monitor Report Needed Yes&_Z! No ❑ Registrar of the Board whose address is: Contractor's State License Board.9835 Gmthe-P.O.Box <br /> Job Complete Yes No ❑ 26000,Sacramento,CA 95826 <br /> White(Ems)// Blue(Emc Pending) // Green(customer copy) - <br /> 7 <br />