DERR-2025-002094

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 #436A
SR-118 AND I-70
SECRET MESA, UTAH
BRETT GURNEY 246107 5000216 / 1057
25006 2-25-2025
PRODUCT LINE AND LEAK DETECTOR TESTS R/UL AND DSL
2 @ 250.00 500.00
INSTALLED NEW STATE SUPPLIED OPW 623 PV VALVE ON UNLEADED VENT
1 HR @ 70..00 70.00
AST ANNUAL INSPECTION
50.00
SITES SHARE OF TRAVEL
108 MI @ 2.00 216.00
836.00TOTAL DUE: