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T r i ang l e F- i r-cDnmenta <br /> 517 East Wilson Avc #101 , Glendale, CA 91206 i8) 246-2464 <br /> Mete r Ca l i b rat i on Fo r-m <br /> DEALER STATION NO DATE DISPATCH NO <br /> W CU. C cdre7h-'-'-X cv 3- 3i-93 <br /> PUMP-MAKE AND MODEL SERIAL NUMBER CALIBRATION <br /> CHECKED ADJUSTED TO <br /> MONEY GALLONS FINISH IFST SLOW FAST SLOW <br /> TOTALIZER '7v 3 -+READINGS MONEY GALLONSTALIZER SEALED METER SEALED <br /> START O T / / w 0, C1 YES NO YES O NO <br /> PRODUCT /h GALLOONS RETURNED Tp 5 ORALE SEAL NO <br /> 044 fr l3i(l0 A. r o <br /> PUMP-MAKE AND MODEL SERIAL NUMBER <br /> CALIBRATION <br /> 4111 CHECKED ADJUSTED TO <br /> MONEY GALLONS FAST SLOW cAST SLOW <br /> TOTALIZER FINISH ;a <br /> READINGS MONEY GALLONS TOTALIZER SEALED METER SEALED <br /> START 6G 3/- O ^ YES (a"O 19YES 0 No <br /> PRODUCT GALLONS RETURNED TO STORAGE SEAL NO. <br /> r A) /S G. O a v'C- /V0'Qtz <br /> PU -MAKE AND MODEL SERIAL NUMBER <br /> CALIBRATION <br /> /J /9 /9 /7 19 CHECKED ADJUSTED TO <br /> FINISH <br /> MONEY GALLONS FAST SLOW FAST SLOW <br /> TOTALIZER 5/ CIS" + 3 <br /> READINGS MONEY GALLONS TOTALIZER SEALED METER SEALED <br /> START O YES ®NO I)[I YES NO <br /> PRODUCT GALLONS RETURNED TO STORAGE SEAL NO. <br /> PUMP-MAKE ANC u00E1 SERIAL NUMBER <br /> CALIBRATION <br /> a CHECKED ADJUSTED TO <br /> HONE, GALLONS FAST SLOW FAST SLOW <br /> TOTALIZER ff <br /> FINISH _G h/// n, 9 _, 3 <br /> , ? <br /> E{ J <br /> READINGS MONEY GALLONS TOTALIZER SEALED DETER SEALED <br /> START /i)F SD C1 YES (9�+0 OYES J-]NO <br /> -T A)O-Vrz <br /> PRODUCT (J GALLONS RETURNED TO STORAGE SEAL NO. <br /> 11 <br /> PUMP MAKE AND MODEL SERIAL NUMBER CALIBRATION <br /> .h 7 CHECKED ADJUSTED TO <br /> MONEY GALLONS FAST SLOW FAST SLOW <br /> TOTALIZER (INISH - 35SS J3, - - 1 -t3 <br /> READINGS L40NEY GALLONS TOTALIZER SEALED METER SEALED <br /> START z 3Sssa3, ❑YES cg;�O 011 <br /> ES No <br /> PRODUCT GALLONS RETURNED TO STORAGE SEAL No. <br /> S /S '�' /0.0 .�G, sr AOit/ <br /> PUMP AKE AND MODEL SERIAL NUMBER <br /> CALIBRATION <br /> CHECKED ADJUSTED TO <br /> MONEY GALLONS FASTSLOW FAST SLOW <br /> TOTALIZER (1:117'FINISH �� / V -/ /�^�(�, 7 <br /> READINGS MONEY GALLONS TOTALIZER SEALED METER SEALED <br /> START � ' �- 7FG El YES ( +O 50 YES C]NO <br /> PRODUCT GALLONS RETURNED TO STORAGE 7" SEAL NO. <br /> FORM]-)ED4 IREV 4 861 AVED IN U S A JJJ MAINTENANCE COMPANY <br /> Triangle Environmental, Inc. ` <br /> DEALERS SIGNATURE MAINTENANCE MANS SIGNATURE <br />