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WALTON <br /> E+NGMEER MlG, INC. <br /> P. O. Box 1025 9163721888 PH <br /> 3900 Commerce Drive 9163731172 FAX <br /> West Sacramento, CA 95691-1025 CA Contractor's License#617238 <br /> Customer Job Location Work Order# 83380 <br /> FM Facility Maintenance(7-Eleven) 7-Eleven#2369-19976 Scheduled Date: 12117/2015 <br /> Attn:Accounts Payable 1399 N. Main Street Scheduled Time: 11:30:00AM <br /> P_O. Box 1319 Manteca,CA 95336 Contact: FM <br /> Hartford, CT 06143-1319 Customer PO#: 59146398 <br /> Phone: 2092393252 Facility: W31155-017 <br /> Station#: 19976 <br /> Contract# <br /> Work in Be rm a Il <br /> Monitor-Alarm- L-5 87 fill I L-6 91 fill <br /> Work Perfomled: <br /> 12/17/1 E TLS in alarm for L5/6 fuel alarms on 87/91 Oct fill sumps. Removed approximately 114 gallon of liquid from each 87 <br /> and 91 Oct fill sumps. Left liquid on site in liquid tagged hazmat drum dated 110515 and is1/4 full, Alarm cleared and <br /> placed all into service with no product dispensed. Walton construction on site doing sump bolts. <br /> O <br /> pen m ems: <br /> Parts <br /> - Part# Mfg Mfg Part# c Reason <br /> Date Technician Arrival I Departure I Datellechnician Arrival Daparbxe <br /> 12/1711, Bush, Robert E. 11:3 12:45 <br /> R E C E E C) <br /> OCT 14 2016 <br /> ENVIRONMENTAL HEALTH <br /> Store Stamp&Signature <br /> v 17 n <br /> ec niaan ignature Customer Signature <br />