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Work Completion Certificate

Part 1 - To be filled during vent job execution


Site Name : Site ID :
Work Order No : Vendor :
WCF No :

Job Details : Vent pipe cleaning - Vent /dip seperation

Start Date Start Time


Completion Date Completion Time

To be filled by retailer/site manager


Details of work performed Name of assets/parts repaired

Job Satisfaction Declaration/Agreement :


Site Representative:

Supervisor Name & Sign: Dealer Stamp :

_______________________________ ______________________________

Part 2 - To be filled at time of tank lory (TL) decantation


Decantation Details
Decantation Decant Vol -Ltrs
TL # UGT Capacity (Ltrs) /Product Type
Time (mins) (8000/16000)

Assurance Sign off

TL Driver Name Signature

Haulier Name
Note : Please ensure Dip Cap & Manhole cover are closed during the decantation process

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