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s <br /> 4 <br /> COMPUTER CHANGE_F]CALIB RATION Record of Computer Change, Meter Change, or Calibration <br /> SHELL OI L COMPANY <br /> EIMETER CHANGE F�W/M NOTIFIED <br /> STATION STREET ADDRESS CITY /r DATE j <br /> �l J <br /> WIC NO.: DEALER: <br /> PUMP. AKE ANO MOIDEL SERIAL NUMBER ✓ CALIBRATION <br /> ,�J "�� �•<> I(_. ( 71,} l'Z - /.( ( 't. 1 CHECKED ADJUSTED TO <br /> MONEY GALLONS FAST SLOW FAST SLOW,I <br /> FINISH / ��� <br /> TOTALIZER � <br /> I READINGS MONEY GALLONS TOTALIZER SEALED METER SEALED <br /> i START <br /> 0o ( C]YES C] NO Q.YES ONO <br /> PRODUCT GALLONS RETURNED-TO STORAGE OLD SEAL NO. NEW SEAL NO. <br /> I � <br /> /�- •is � �' �� ����.� <br /> _ PUMP- AKE AND MODEL SERIAL NUMBER :} CALIBRATION <br /> > 1^ 7 <br /> (�i CHECKED ADJUSTED TO <br /> r MONEY GALLONS FAST SLOW F77TSLOW <br /> FINISH s <br /> TOTALIZERt.%(i <br /> READINGS MONEY GALLONS TOTALIZER SEALED METER SEALED <br /> START <br /> ('' '; ��� 0 YES NO AYES C] NO <br /> PRODUCT GALLONS RETURNED TO STORAGE OLD SEAL NO. NEW SEAL NO. <br /> J <br /> PUMP-MAKE AND MODEL SERIAL NUMBER CALIBRATION <br /> ��. i �. ) (' "'� U r- > k'/'1! '1 I /,'' v- "- (_, 7 - /i �' CHECKED ADJUSTED TO <br /> MONEY GALLONS FASTS_ LOW FAST SLOW <br /> / <br /> TOTALIZER (; G �' <br /> FINISH <br /> READINGS MONEY GALLONS TOTALIZER SEALED METER SEALED <br /> START / \I ❑YES NO i YES NO <br /> PRODUCT GALLONS RETURNED TO STORAGE OLD SEAL NO. NEW,SEAL NO. <br /> PUMP-MAKE AND MODEL SERIAL NUMBER CALIBRATION <br /> '. I ' > ( ;_ Ur j r( (' r( I //1 h'- (. - t ( (.,�O( CHECKED ADJUSTED TO <br /> MONEY GALLONS FASTFINISH r <br /> LOW FAST SLOW <br /> TOTALIZER )(;< I <br /> READINGS MONEY GALLONS; TOTALIZER SEALED METER SEALED <br /> START �y��._ YES ��NO YES 0 NO <br /> PRODUCT GALLONS RETURNED TO STORAGE OLD SEAL NO. NEW$EAL NO. <br /> 1r C- <br /> PUMPf B <br /> • AKE AND MODEL SERIAL NUMER CALIBRATION <br /> 7 ( CHECKED ADJUSTED TO <br /> MONEY GALLONS FAST SLOW FAST 7)TOTALIZER <br /> W <br /> FINISH /'l(,( (../ <br /> READINGS MONEY GALLONS = TOTALIZER SEALED METER SEALED <br /> START ��,( f YES NO AYES 0 NO <br /> PA 0 DD CT )' GALLONS RETURNED TOSTORAGE OLD SEAL NO. NEW SEAL NO. <br /> PUMP-1 AKE AND MODEL SERIAL NUMBER ( CALIBRATION <br /> //, Vr< I lr' 6� - !/b I G CHECKED ADJUSTED TO <br /> MONEY GALLONS FAST SLOW FAST SLOW <br /> I <br /> TOTALIZER FINISH lr <br /> % (i 1 ,I 4- <br /> READINGS <br /> READINGS MONEY GALLONS TOTALIZER SEALED METER SEALED 1 <br /> START i OYES (3'NO ❑' YES ONO <br /> PRDUCT r GALLONS RETURNED TO STORAGE OLD SEAL NO. NEW SEAL NQ( <br /> MAINTENANCE COMPANY <br /> DEALER'S SIGNATURE MAINTENANCEM,jN'SSIGNATURE <br /> SR-80-03 COPY DISTRIBUTION: 1 &4 ADMINISTRATIVE OFFICE;2 DEALER;3 CONTRACTOR <br />