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I <br /> Work Order# 375419 <br /> Fuel Services ems: 953 Tracy Fedex Ground <br /> 5655 Hood Way <br /> Phone: 1-800-2154839 z2 FSRff: 4260 Getiler*Ryan,Inc. Tracy,CA 95377 <br /> Fax: 1-305-6294288 FSR FAX#: 925-551-7888 <br /> Phone: 20"39.2060 <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 /> 9-7-6-I '7„ 14-',30 1 6 1 _ Z q <br /> Description of Work Performed :(RequUad) <br /> yCh C,Y-QA } e. rnonkt0()n town G C ,* ti 11 n rn P11 . Chzciced, <br /> o" so IQ�;Dn IVe,1$ on t bo, Q1n.-y}al SDaC2 SrnsO��f CJlip #" I nd <br /> ofsec,#-. !� l o hr✓cIG d C- s I?S nn I Q,tde1'e'A o JCi0.rP 0)� Ve,r-y <br /> r-,al� Gt�ovr,} difT��•CUSp� al,Sort,/4 Ras (Z 4-5-16 dt.�n4 lila <br /> I veftfy that any dispensers put in the override mode dump service have been returned to the normal operating mode. <br /> © 9- F,6 7 <br /> Tech.Name(Pnnted) Te r �� Date <br /> Requ <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 /> RECD OCT 0 2 2017 <br /> Customer Comments <br /> I verify that all work was performed as described <br /> LP <br /> Customer Name(Printed) Customer�v reDate <br /> Pape 3 of 3 <br />