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'r Fx Record of ComputerZhange, Meter Change, or Calibration <br /> W.H. Breshears, Inc. <br /> L ..N <br /> General Construction Division �COMPUTER CHANGE CALIBRATION <br /> r <br /> Calif.Contractors No.456874 r <br /> P.O.Box 392,Modesto,CA 95353 <br /> Ph.(209)522-7291 METER CHANGE W/M NOTIFIED <br /> CUSTOMER ADDRESS DATE <br /> 824 E. YOS to Ave., N£mtem, CA. 95336 <br /> PUMP MAKE AND MODEL SERIAL NUMBER CALIBRATION <br /> CHECKED ADJUSTED TO <br /> MONEY GALLONS FAST SLOW FAST SLOW <br /> TOTALIZER FINISH � / SA <br /> READINGS MONEY GALLONS ,TOTALIZER SEALED METER SEALED <br /> START � 461 <br /> YES NO YES NO <br /> PRODUCT GALLONS RETURNED TO STORAGE <br /> PUMPMAKEAND MODEL SERIALNUMBER <br /> - - - --" - - "CALIBRATION - - <br /> CHECKED ADJUSTEDTO <br /> MONEY GALLONS '.l FAST SLOW FAST SLOW <br /> TOTALIZER FINISH 36(A 5,7 j ) <br /> S �; -� V <br /> READINGS MONEY GALLONS ////!!! TOTALIZER SEALED METER SEALED <br /> START ?� 2 y 6 � YES NO YES NO <br /> PRODUCT GALLONS RETURNED TO STORAGE <br /> f <br /> PUMP MAKE AND MODEL SERIAL NUMBER CALIBRATION <br /> CHECKED ADJUSTEDTO <br /> MONEY GALLONS FAST SLOW FASL SLOW <br /> TOTALIZER FINISH <br /> READINGS MONEY GALLONS TOTALIZER SEALED METER SEALED <br /> START YES NO YES NO <br /> PRODUCT GALLONS RETURNED TO STORAGE <br /> PUMP MAKE AND MODEL SERIAL NUMBER CALIBRATION <br /> CHECKED ADJUSTEDTO <br /> MONEY GALLONS EAST SLOW FAST SLOW <br /> TOTALIZER FINISH <br /> READINGS MONEY GALLONS TOTALIZER SEALED METER SEALED <br /> START ❑ YES NO YES NO <br /> PRODUCT GALLONS RETURNED TO STORAGE <br /> PUMRMAKE AND MODEL SERIAL NUMBER CALIBRATION <br /> CHECKED ADJUSTED TO <br /> MONEY GALLONS FAST SLOW FAST _ `SLOW <br /> TOTALIZER FINISH <br /> READINGS MONEY GALLONS TOTALIZERSEALED .. --- -METER SEALED <br /> START [-] YES �3 1 5 !M89S ] No <br /> PRODUCT GALLONS RETURNED TO STORAGE <br /> ENVIROW NTAL HEAL <br /> PUMP MAKE AND MODEL SERIAL NUMBER -� <br /> CHECKED ADJUSTED TO <br /> MONEY GALLONS FAST SLOW <br /> TOTALIZER FINISH <br /> READINGS START u MONEY GALLONS TOTALIZERSEALEDSEALED SE E <br /> YES LJ Ni J El <br /> NO <br /> PRODUCT GALLONS RETURNED TO STORAGE <br /> ENVIROND IENTAL HEALTH <br /> MAINTENANCE COMPANY D <br /> W.H. Breshears, Inc. <br /> CUSTOMER SIGNATURE MAINTENANCE MAN's SIGNATURE AND DEVICE REPAIRMAN NO. <br />