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y Work Order# 388522 <br /> Site: 953 Tracy Fedex Ground <br /> Fuel Services <br /> 5655 Hood Way <br /> Phone: 1-800-215-4839 x2 FSR#: 7079 Balch Petroleum Tracy, CA 95377 <br /> Contractors and Builders <br /> Fax: 1-305-629-4288 FSR FAX#: 408-942-0131 Phone: 209-839-2060 <br /> Work Order Summary <br /> This form must be COMPLETED &ATTACHED to all invoices submitted for payment. <br /> Trip# Date Arrival Time Departure Time Travel Hours Miles Traveled <br /> Description of Work Performed :(Required) <br /> I verify that any dispensers put in the override mode during service have been returned to the normal operating mode. <br /> Tech. Name(Printed) Tech Signature Date <br /> < (Required) <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# Description Area/Location Date Installed <br /> Customer Comments <br /> I verify that all work was performed as described above. <br /> Customer Name(Printed) Customer Signature Date <br /> < (Required) <br /> Page 3 of 3 <br />