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Dispenser Fuel Grade 20 CFH 60 CFH 80 CFH 100 CFH <br />Number <br />I declare, under penalty of perjury under the laws of the state of California that based on information and belief formed <br />after reasonable inquiry, the statements and information provided in this document are true, accurate, and complete. <br />Signature of Technician: Date: <br />Ver. 1.3 — 08.07.09 <br />