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4 <br /> HETER CALIBRATION CHECK FORM <br /> Facilltyl f <br /> Hotel <br /> 1 . All maters Tull have calibration checks a rolnlinuia <br /> of twice a year , which may include checks dOCe by <br /> the Uepartzent'of sleights and Heasures%. <br /> a' I `LL I � <br /> 2. Before starting calibration runs , the <br /> calibration can With product and return produc to <br /> storage. SEP 27 1900 <br /> 3 . Run 5 gallons With nozzle wide open"Arit--OwFCOn. <br /> l' <br /> Note gallons and cubic inches dra�n�' end' btu <br /> product to storage., , . <br /> 4 . Run 5 gallons with the nozzle one-half open into <br /> the can. Note gallons and cubic inches drawn, and <br /> return product to storage. <br /> 5 , If the volume measured in a 5-gallon calibration <br /> can is !more than b cubic inches .above or belau the <br /> 5—gallon nark , the nater requires calibration by - <br /> • a registered device repairuan._• <br /> �8Or a UrT Oil FOR 4MeTurw U51Hrun <br /> Calibration <br /> PuAp t Product S-imilon Draft 5-Dallon Ihaft to Storage Rt�u . <br /> ........� Gala I Cue la. Gals Cu. Ili. Gallons Yrs No Callbret llrn <br /> Alw - <br /> lv�s <br /> Owner or operator Signature <br /> Calibrator's Signature _ Reglstration 1 yv <br />