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Fuel Services <br />Phone: 1-800-2154839 x2 FSPA: 7079 Batch Petroleum <br />Contractors and Builders <br />Fax: 1-281-579-0864 FSR FA -X#: 408.942-0131 <br />}A -A: 003 IF "f' <br />Work Order # 306269 <br />site: 1071 A Ryder Truck RerAai <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 4 Date Arrival Time Departure Time Travel Hours Miles Traveled <br />/-V13 S;oov- a&o.0 ,.., 3 /S-A <br />Description of Work Performed (Required) <br />CJS.t� ll l9 11-j,t��t <br />I verify that any dispensers put in the override mode durinq service have been returned to the normal operating mode. <br />I`� Erb 2r•% �o� ri � n r.' -> q <br />6,3 <br />Tech Name (Printed) Tech Signature Date <br />It 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 />Customer Comments: <br />Description Area/Location Date installed <br />vc fly .I— d" Y—A wds vertormea as described above. <br />J � <br />Customer Name (Printed) C, timer Sgrature Da e <br />-- ---- --- (Required}--'------ .� <br />