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Jul 25 13 08: 20a Elite IV Con REMEIV�ff 4616342 P. 1 <br /> 40 Is -Ac'q <br /> ELITE IV CONTRACTORS, INC. JUL 2 5 2013 <br /> 7-, 2535 Wigwam Dr. State Lic. #660076 JOB WORK C F )ER& <br /> Stockton,CA 95295 TIN E CARD Ref# <br /> (209)461-6337 Fax(209)461-6342 ENVIRONMENTAL <br /> eliteiv@sboglobal.net HEALTH DEPARTMENT <br /> P.O. FAC# PHONE# DATE TIME TAKEN BY <br /> an <br /> JOB NAME � PUMP TEST HOSE 40DEL# EMAL# <br /> Pmwa&112 <br /> '� JOB SITE <br /> ORDERED BY <br /> WORK ORDERED <br /> DESCRIPTION OF WORK DONE <br /> Z-2 <br /> A� <br /> I HEREBY ACKNOWLEDGE COMPLETION OF THE ABOVE DESCRIBED WORK <br /> SIGNATURE <br /> fTERIAL AND LABOR RECO1L- <br /> QTY MATERIAL USED PRICE AMOUNT QTY MATERIA USED PRICE AMOUNT <br /> T07A MATERIAL <br /> TAX <br /> TOTAL <br /> 4 <br /> 7— TECH SITE IN SIT]. C ;T HRS RATE AMOUNT <br /> )- AM <br /> AM <br /> PM <br /> 0- <br /> AM <br /> AM ANI <br /> PM PM <br /> AM 3115 <br /> PM PM <br /> OSHA <br /> TRAVEL TIME <br /> FUEL TOTALMILEAGE <br /> , q <br /> COMPLE"D-W-S No WARPUNTYWOUK-YES_No OT.-nS-NI) GRANOTOTAt- <br /> I _ <br /> WHITE-OFFICE COPY CANARY-FILE COPY •^ PINK-CUSTOMER COPY <br />