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Fluet Services <br />Phone: 1-800-215-4839 x2 FSP-#: 7079 Batch Petroleum <br />Fax: 1-305-629-4288 Contractors and Builders <br />FSR FAX#: 408-942-0131 <br />X533, <br />Work Order # 352870 (� <br />Site: 1071A Ryder Truck Rental <br />3633 Duck Creek Drive <br />Stockton, CA 95215 <br />Phone: 209-943--3213 <br />Work Order Summary <br />This form must be COMPLETED & ATTACHED to all invoices submitted for payment. <br />Trip # Date Arrival Time <br />Departure Time Travel Hours <br />�a%%///„ � t.�� Miles Traveled <br />csrL tc���jp� <br />Description of Work performed <br />:(Required) <br />Nps 1 _ <br />I verify that any dispensers put in the override mode during service have been returned to the normal operating mode. <br />_ �-S`����YS,ech- Name(Printed) <br /><_Tech re <br />---- -- Date <br />If additional trip is required call 1-281-647-8900 x2 and request additional "work order summary' <br />Material Used (Attach list if required) <br />Part # Serial # <br />Description <br />Customer Comments <br />I verify that all work was performed as described above. <br />S <br />Customer Name (Printed) <br />- Customer Signature <br />-------------------_-(Required)_-.----------•----- <br />Page 3 of 3 <br />Area/Location Date Installed <br />2- <br />Date <br />