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conveyan ce a n■ ca n 1,5 i n er i n spe ction <br /> CiNrAS 922 Stockton CA <br /> t5 STATUS D PRIOWTV (D DUE QATt <br /> Dorte 09101/2025 <br /> WORK TYPE <br /> Preventive <br /> X ASSIGNEES CATECORW3 <br /> Daniel Bell ISpect�On <br /> LOCATION] :*: ASSET <br /> Waste Water Room Waste Water System <br /> PROCEDURE <br /> *** LOTO Confirmation Statement - DO NOT EDITIREMOVE �** <br /> 212 <br /> Fields completed <br /> All hazardous energy has been isolated using LOTO procedures?-- <br /> 0 <br /> rocedures?:O Yes <br /> 0 NIA <br /> Fftd byDar+ie#80 on aVOW2025. 8 21 AM <br /> All potential stored or residual energy has been relieved, disconnected, restrained, lowered, and/or <br /> otherwise rendered safe?: <br /> C) Ye s <br /> N/A <br /> FWed by Daniel 80 on 0810&f2025, 8 2!AM <br /> WORK ORDER INFO <br /> Created by. MaintainX on 02125)2025, 7;18 AM <br /> Last updated on 0810 812 02 5, 8;22 AM <br /> Completed on 0810812025, 8:22 AM <br /> Ffth M1nX <br /> tbI tiF4, <br />