DERR-2024-009277

BILLING ADDRESS FACILITY ADDRESS
WORK ORDER # DATE:
CONTACT: DEQ ID#
APPLIED ENVIRONMENTAL SERVICES, L.C.
SEND PAYMENT TO : APPLIED ENVIRONMENTAL SERVICES
ALL TESTS WERE PERFORMED IN A PROFESSIONAL MANNER, AND WITHIN COMMON PRACTICES OF THE INDUSTRY.
DUE TO VARIABLES OF TIGHTNESS TESTING, THESE RESULTS CANNOT BE GUARANTEED. THERE ARE NO WARRANTIES.
EXPRESSED, WRITTEN, OR IMPLIED.
PO BOX 1073 BOUNTIFUL, UTAH 84011
.
PO#
PHONE: [phone] FAX: [phone]
STATE FUEL NETWORK
PO BOX 141152
SALT LAKE CITY, UTAH 84141-1152
SLCC MOTOR POOL
4563 SOUTH 2200 WEST
SALT LAKE CITY, UTAH
BRETT GURNEY 246107 4002678 / 1150
24060 7-8-2024
PRODUCT LINE AND LEAK DETECTOR TESTS
2 @ 250.00 500.00
AST ANNUAL INSPECTION
50.00
DISPENSER CALIBRATION
1 @ 75.00 75.00
SENSOR TESTS
2 @ 10.00 20.00
INSTALLED NEW STATE SUPPLIED PV VALVE ON R/UL VENT
1 HR 70.00
DAYS TRAVEL
40 MI @ 2.00 80.00
795.00TOTAL DUE: