DERR-2024-010101

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
UTAH STATE PRISON ( MOTOR POOL & EMGS)
1480 NORTH 8000 WEST
SALT LAKE CITY, UTAH
BRETT GURNEY 246107 FD # 1354
24082 8-14-2024
PRODUCT LINE AND LEAK DETECTOR TESTS R/UL , DSL ( MOTOR POOL )
2 @ 250.00 500.00
DISPENSER CALIBRATION ( MOTOR POOL )
2 @ 75.00 150.00
AST VISUAL SITE INSPECTION ( MOTOR POOL )
50.00
SENSOR TESTS ( MOTOR POOL )
4 @ 10.00 40.00
INSTALLED STATE SUPPLIED PV OPW 623 PV VALVE ON UNLEADED VENT
1 HR 70.00
PRODUCT LINE TIGHTNESS TEST ( EMG SITE )
1 @ 250.00 250.00
SENSOR TEST ( EMG SITE )
3 @ 10.00 30.00
AST VISUAL SITE INSPECTION
50.00
DAYS TRAVEL
45 MI @ 2.00 90.00
1140.00TOTAL DUE: