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I W , <br />SACRAMENTO EQUIPMENT MAINTENANCE COMPANY, INC. <br />2533 Connie Drive <br />Sacramento, CA 95815-2809 <br />(916-925-2716)(916-925-2816 fax) <br />CA Contractors' License #502377 <br />Federal ID #68-0110167 <br />Customer <br />Job Location wo =1246-9 <br />Work Order # <br />r,7 <br />7' <br />-Eleven #199'76.1,*,MFzket#2237.:i (:he",oll <br />7tV�W]Received: <br />1390 North Nlain Street i Northgate <br />Mantern, Ca 95336 <br />Contact: <br />Customer PO # <br />Station # <br />'Venf-sue Ruby/Chevron P_ 'L.vp , �!lql*� <br />extended cc�!lh act (call 'Sul <br />Work to be Performed: t 1-1;4 <br />r1:'1_900-997-0711 41-T t <br />h' -'Ir reRfjortze (Must be. on cite before 00,100"(9) 00:64 "fT x, i Tilni: Tech "IA <br />T'll 11 (91) rtllburkrt failed (hole Lu bvlrketl <br />Performed' <br />Work Per I <br />Z / t <br />/ 0-7 <br />i"' � ,Zb I <br />�'A, <br />EQ ID <br />Grade <br />Mfg <br />Model <br />Serial <br />f <br />-Iq <br />bee 7- <br />Pending Problems: <br />Parts Used <br />Qty <br />Part # <br />Mfg <br />Des, <br />New Serial 9 <br />Core Part N <br />Core St,nal # <br />EQ ID <br />Fault <br />Comp <br />Action <br />Date <br />Tech <br />Initials <br />On SiteTime <br />& Signatur7__ <br />ATE <br />OWNER <br />7 FLEVENf STORE <br />2251-1c <br />Signature: Print Name: --- <br />Subject to terms and conditions on back hereof. <br />Arrival <br />Departure <br />r <br />Office Use Only:dna <br />Data Entered? Yes ❑ <br />MOB Yes 0 <br />W+M Report Needed? Yes Q <br />Monitor Report Needed Yes D <br />Job Complete Yes 0 <br />No Q <br />No 0 <br />No 0 <br />Notice: A Finance Charge of 1 1/2% per month, which is an annual percentage rate of 18%, will be <br />charged on past due accounts over 30 days. Contractors are required by law to be licensed and regulated <br />by the Contractor's State License Board. Any questions concerning a contractor may be referred to the <br />Registrar of the Board whose address is: Contractor's State License Board - 9835 Geothe - P.O. Box <br />26000, Sacramento, CA 95826 <br />White (Emc) H Blue (Effic Pending) // Green (customer copy) <br />