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Customer Job Location <br /> Work Order <br /> �nci�iG Date <br /> Contact <br /> /fir n n Job # <br /> GB IR# <br /> _ Station # <br /> Gilbarco ASC #0001306000 EMC Office #293 <br /> Work Start Date: L�/o��_ Time: //BO Tech No: Gene Babineaux <br /> #9151 <br /> Work Stop Date: �e�/o/99 Time: Jim Cossey #1976 <br /> Russ Dowdy #2623 <br /> Onsite Total Hours: <br /> Options: Pumps/Dispensers Terry Masters #3296 <br /> Round-trip Travel Hours: Crinds Travis Murphy #7 <br /> Round-trip Travel Miles: Crind Printers Lee Reeves 7609 <br /> Vapor Vac Steve Scott 8 <br /> Cash Acceptor Tom Steiger #9877 <br /> Problems: InfoScreen Sam Sumner #8778 <br /> Action Taken: -_PK✓LFORM Arras i nn 'nS�Ks _�f— �� , r �� <br /> Qty. Part # Description New S/N Old S/N Unit <br /> Model # Serial # <br /> Fault/Failure: <br /> Cause/Component: <br /> Remedy/Action: <br /> Bill Code: W - Warranty P - Warranty Priority U - Telephone Fix <br /> M - Maintenance A - Maintenance Billable B - Billable <br /> Was preventative Maintence Performed? Yes No <br /> Was Call Closed? Yes No Date/Name <br /> Was Call Updated? Yes No Date/Name <br /> The C!Connfe <br /> ctor had personnel here on site and worked on the above equipment as requested.Work was performed at the above location by: <br /> Sacranto Equipment Maintenance Company, Inc. Store Stamp - Signature of Dealer or his Employee - Date <br /> 2533 Drive <br /> Sacranto, CA 95815 <br /> 916-9716 CSR ##73213 <br /> Signature of Dealer (or Employee) does not obligate dealer in any way, nor does it signify any approval of work done. <br /> Contractor is responsible for filling out this form and obtaining signature. <br /> Leave one (1) copy at store. <br />