HomeMy WebLinkAboutCT 04-10; POINSETTIA PLACE; CHLORNIATION SAMPLE; 2012-06-12MATT j CHLOR, INC.
. 4107 NORTH ARDEN DRIVE EL MONTE, CALIFORNIA 91731
Ph: (626) 443-5034 (619) 542-0155 (San Diego Area). Fax: (626) 443-2226
%Website:, www.mattchlor.comt• E-mail: service@mattchlor.com
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Service Order M.
14643
Compwy Name: Schilling Corjioraiion
Tethniaan: Mark Aurelio Date:
Technician:06/12/12, Tuesday
Payment Terms: Appointment Confirmed With:
Net 30 Days John
Time: PO4* AND/OR JOB#
9:00AM Job #: 11095
Po #: 6229
Code Cost- 015-60-n08
Date & Thise Appobitment Was Confinned
06/11/12 2:32PM
MeetinAd&ess: Service Location:
Take 5 Freeway And Get Off On Poinsettia Lane Poinsettia Lane & Cassia Road
Go EastUntil You Get To Cassia Road Carlsbad, Ca 92011
Thomas Guide: 1127D5
\
Jcth Called In By:
Phone Number (office):
Phone Number (cell):
Fax Number:
E-Mail Requester):
John-- •
619-792-1612
619-579-3733
schristoschiiIing-paradise.com
Dave Valdez
Contact At Job:
619-719-2202 Cdi Number:
Office Number:
E-Mail (Contact at Job Site):
Day 1: ZhIorinate, 500 feet of 12 inch
Day 2: Dechlorinate "ONLY" 500 feet of 12 inch
I. t
Chlorine Concentration (ppn) Requred For Chlorination JpbA nly: PPM? -
High Ctor1ne Residual:'
Chlorine Residual (after 3 HRS /24 HRS ! OR - HRS) '
CIRCLE THE ONE THAT .AIPLIES OR UST NUMBER IF 18-OTHER THAN 3 OR24 HOURS ( Low Chlorine Residual, (After DechhrinatIon): i I I . - Also Ilst6tikiilne residual at every sample location on chain Chlorine Residual (prior to water sanplo collection):, \of custody, this way the laboratory can Include on Final
AdditIona Se ce"DUes & Speia1Inst,tcthns: Laboratory Report
11 DESCRIPTION OF WORK COMPLET D:(L Io vtJ- c) SX .p-t 4 LL
C.vvc
ENDATIONS/CAUTIONS:
D HEREBY ACKNOWLEDGES THE WORK DESCRIBED ABOVE HAS BEEN COMPLETED TO THEIR TOTAL SATISFACTION. UNLESS NOTED BELOW, MATT-CHLOR
FROM ANY RESPONSIBILITY FROM ANY OCCIrRBENCE FOL OWING THEIR DEPARTURE FROM THE WORK SITE.
SIGNATURI--. PRINTED NAME / DATE