DERR-2025-001964

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]
STATE FUEL NETWORK
PO BOX 141152
SALT LAKE CITY, UTAH 84141-1152
UTAH DOT #436
250 SOUTH 200 EAST
EMERY, UTAH
BRETT GURNEY 246107 5000215 / 1056
25005 2-25-2025
PRODUCT LINE AND LEAK DETECTOR TESTS R/UL AND DSL
2 @ 250.00 500.00
AST ANNUAL VISUAL INSPECTION
50.00
INSTALLED NEW STATE SUPPLIED OPW 623 PV VALVE ON UNLEADED VENT
1 HR @ 70.00 70.00
TRIPS SHARE OF TRAVEL
108 MI @ 2.00 216.00
836.00TOTAL DUE: