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9595 Lucas Ranch Rd-',100 <br /> Service Report Rancho Cucamonga,GA 91730 <br /> Phone(909)972-7581 <br /> joNE5 COVEY. Roup.I-ac. Fax(909)484-0300 <br /> Licenseff 8D.44'31 <br /> Work Order -.8S <br /> Customer. 115 Address: <br /> Ll 1 N- JAC-".e-e.1'(. <br /> Customer W/O City: State: Zip: <br /> Date: V2 vi Phone: <br /> Customer ContAct. 5Z&fr Weather. Temperature: <br /> Fuel Service Cad Facilities Service Call <br /> p <br /> --lp Z.-,7 Jl lfvp, 11 job Completed <br /> Reported Scope of Work:1! <br /> 0: <br /> 41 —7z, mod <br /> P ]�uOW' <br /> e Sf�s <br /> la;E tf 6 O^ Pda c.A41EY- I I ,k17- (zm F-61 1 <br /> W r <br /> o <br /> r 0 <br /> r <br /> M <br /> d <br /> Sub Contractors: <br /> Part A Description mdor PO4 Quantity Price Total <br /> Part ft Description Cuantity 1; <br /> Repair <br /> FI <br /> Parts <br /> Needed <br /> Techniciati(s) Arrivallvell Labor f Rates 1Total Eyours', <br /> F- <br /> Mileage Start stop I Total ISensor Removed Yes No <br /> rjSensor Replaced to Lowest Point Yes No <br /> Safety Observations I <br /> castome.supplied 1__yYesFuel Filters Yes Yes es <br /> I -Customs Placd in Liquid Removed I H=D�1..D-- <br /> Items? No erDrum? No No No <br /> Tech Signature <br /> 11dLU1 Date: <br /> RECEIVED <br /> JUN 16 2014 <br /> ENVIRONMENTAL HEALTH <br /> 0CM P9*1R'fQ=n_1 1-.1%7c, <br />