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'r# _:.T IH U 9,: 2 C. n ie .r w. I P ke C m ,M 'i ri G p _0 2 <br /> COMPUTER CHANGECALIBRATION Record Of CoiITpU'ter Change, Meter Chan e, or Ce9ibratic <br /> METER CHANGE EWIM NOTIFIED <br /> STATION STREET ADDRESS B' �y CITY DAT <br /> C, f ' <br /> WIC NO.: DEALER: <br /> UMP M�`KE AND MODEL SERIAL`'NUMBER CALIBRATION <br /> It ^ t1 'G,t P iti y ,�C' G� U t S� CHECKED ADJUSTED TO <br /> MONEY GALLONS FAST SLOW PAST SLOW <br /> FINISH <br /> TOTALIZER .o <br /> READINGS MONEY GALLONS TOTALIZER SEAL G METER SEALED <br /> START El YES NO YES _ "NO w <br /> PII'{•�zi� ssALL wan unMap Ya ar/yhA 1 p� SBA{ N E W$ <br /> t'•UMP YAKE AND MODE*t SERIAL NUM8ER CALIBRATION <br /> �y e6 ' -'r1 j G ! ! CHECKED ADJUSTED TO <br /> MONEY GALLONS FAST St,Qw FAST 5LOW <br /> TOTALIZER <br /> FINISH <br /> , <br /> 51 2 <br /> READINGS MONEY GALLONS TOTALIZER SEALED METER SEALED <br /> START []YES F[] NO OYES O <br /> PRO_DU CTff GALLONS FtITEdRNED s•r*AAda DLD-SEAL NEW SE NO, <br /> lee" Jai <br /> PUMP- KE AND MODEL SERIAL NUMBER {� CALIBRATION <br /> &T 3 z "I CHECKED ADJUSTE D TO <br /> MONEY GALLONS FAST SLAW (FAST SLOW <br /> TOTALIZER <br /> FINISH 6 — 1 [ <br /> j <br /> READINGS MONEY GALLONS TOTALIZER SEALED METER SEALED <br /> START z ,- Q13 YES 11 No ES ONO <br /> Irol0 CT GALLONS 98TVANGDTO STOAAai MURAL NO, NEW SE I.NO. <br /> ubsVMAKE AND MODEL SERIAL NUMBER CALIBRATION <br /> 3.3 7<YS"lz 4,01 CHECKED ADJUSTED TO <br /> MONEY GALLONS PASY BLOW FAST SLOW <br /> FINISH <br /> TOTALIZER <br /> HEADINGS MONEY GALLANB TOTALIZER SEAL A METEFI SEALED <br /> START ®YES []ENO NES <br /> F° <br /> Fa DUCT OA4LGN6 RETURNq YO TQRA59 ROta$SAI,NO. N6W SERI NO. <br /> leAlel <br /> "'PUMP-MAKE AND MODEL SERIAL NUMBER CALIBRATION <br /> '� CHECKED ADJUSTED TO <br /> MONEY GALLONS FASB FAST SLOW <br /> IUTALIZER FINISH , <br /> 5 14 to d 10 <br /> HEADINGS MONEY GAT.LONS TOTALIZER SEALED mETEfi SEALED <br /> START z [:]YES []NO YEs NO <br /> i;'fil_Tl rT CALLONG91TWAN®OTOITORA04 OLD SEAL NO. N WSE LNO. <br /> I'UMP MAK ' AND MODEL SERIAL NUMBER CALIBRATION <br /> CHECKED ADJUSTED TO <br /> MCNGY GALLONS FAST SLOW FAST 151.OW <br /> FINISH <br /> {U 1 A1.IZER <br /> RLADINGS MONEY GALLONS TVIXUlEASEALED METER SEALED <br /> START YES ENO YES NO <br /> NEat�GiLaCT GALLONS RETURNIDT®SYQAAC® OLD SEAL NO, NEW SEAL NO. <br /> MAINTENANCE OMP NY, <br /> DEAL R'S IGNATU E MAINTENANCE MAN'$$l NAT E <br />