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2535 Wigwam Dr. State Lic. #660076 Original w/o #: <br />Stockton, CA 95205 <br />(209) 461-6337 Fax (209) 461-6342 Ref: <br />P.O. M FACS DATE Z///�� <br />JOB NAME �1C� /�/1 <br />i— <br />/ <br />PUMP TEST HO E N <br />k <br />TECH <br />SITE IN <br />� <br />JOB SITE <br />C,/ <br />MONEY TOTAL <br />AMOUNT <br />TOTAL GALLONS <br />X5.2 <br />930 PM <br />P„ <br />5 �� <br />ORDERED BY <br />TOTALIZER BEFORE <br />1 <br />TOTALIZER AFTER <br />�Z) AIN <br />DESCRIPTION OF WORK DONE I <br />/1 �zc c <br />G lam[ /o `i (f C I / c� Dlo ��ib P 1 -P �a GhC'C� I r <br />3r c <br />r 1 % <br />Xi /1 t° 11X 51 (51 7 r�,�c � �(/C 11 7 �f l le <br />I HEREBY ACKNOWLEDGE COMPLETION OF THE ABOVE DESCRIBED WORK <br />SIGNATURE <br />MATERIAL AND LABOR RECORD <br />QTY <br />MATERIA USED PRICECOUNT <br />k <br />TECH <br />SITE IN <br />SITE OUT <br />HRS <br />RATE <br />AMOUNT <br />X5.2 <br />930 PM <br />P„ <br />5 �� <br />600 <br />�Z) AIN <br />AM <br />PM <br />AM <br />PM <br />AM <br />PM <br />AM <br />PM <br />J <br />TRAVEL TIINE <br />LJU <br />TOTAL MILAGE <br />COMPLETED _YES ----JO WARRANTY WORK YFS _--NO OT: 1'ES HO <br />GRAND TOTAL <br />WHITE - OFFICE COPY <br />CANARY - FILE COPY <br />PINK - CUSTOMER COPY <br />