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Tri ang 1 e s- nv i ronmIEE, ntal I nc _ <br /> • 517 East Wilson Av # 101 , Glendale , CA 91206 18) 246-2464 <br /> Meter Ca l i b rat i on Fo rm <br /> DEALER STATION NO DATE015PATCH NO <br /> co yc� w. c ,arc 3- 3/- �3 <br /> PUMP-MAKE AND MODEL R -.2�f SERIAL N MBER <br /> _ / / CALIBRATION <br /> J= j VCD ,(/ o 3/ /2A5-(o CHECKED ADJUSTED TO <br /> MONEY GALLONS FAST SLOWFINISH FAST SLOW <br /> TOTALIZER UJt1 QA0 �, 1 -+ <br /> READINGS MONEY GALLONS TOTALIZER SEALED METER SEALED <br /> START / 611 El YES RNO YES NO <br /> PRODUCT GALLONS RETURNED TO STORAGE SEAL NO, <br /> /v/T.S/V- !S ' � •�.�.� (}JUS" %,SD <br /> PUMP-MAKE AND MODEL JV SERIAL NUMBER <br /> CALIBRATION <br /> !?, //' l / CHECKED ADJUSTED TO <br /> MONEY GALLONS FAST JILOW FAST SLOW <br /> TOTALIZER FINISH 7 o33vF C� <br /> j5 f <br /> READINGS MONEY GALLONS TOTALIZER SEALED METER SEALED <br /> START •D E]YES IJ(�NO YES 0 NO <br /> PRODUCT GALLONS RETURNED TO STORAGE 7`"� <br /> SEAL NO. <br /> /r-SIF � 15 -5, /0, 6 -'00' /`71S-0 <br /> PUUP-MAKE AND MODEL �'� SERIAL NUMBER <br /> aL?/5r _-a(J j CALIBRATION <br /> Sbu F J ' (,IA COi(ii v� 7 O�3 J� J� (0 CHECKED ADJUSTED TO <br /> MONEY GALLONS FAST SLOW FAST SLOW <br /> TOTALIZER FINISH <br /> READINGS MONEY GALLONS / TOTALIZER SEALED / ME TEAR SEALED <br /> START n. �/�� �. El <br /> YES NO n[I YES NO <br /> �{ `I I J" <br /> PRODUCT -2�7_ GALLONS RETURNED TO STORAGE SEAL NO. <br /> PUMP-MAKE AND MODEL SERIAL NUMBER CALIBRATION <br /> �7 17 // -17 CHECKED ADJUSTED TO <br /> MONEY GALLONS FASTSLOW FAST SLOW <br /> TOTALIZER FINISH ��- 0/ 3 .�`���` -+ I <br /> Ila I <br /> READINGS MONEY GALLONS }d TOTALIZER SEALED METER SEALED <br /> START /9- 52 <br /> 9 F 0/ 13 0 YES gNO YES El NO <br /> PRODUCT //�` `-- GALLONS RETURNED TO STORAGE SQL NO. <br /> 1 s;I, /S TY_T /0' 0 ,/U c1 (/i /U 0 N <br /> PUMP MAKE AND MODEL SERIAL NUMBER <br /> CALIBRATION <br /> CHECKED ADJUSTED TO <br /> TOTALIZER <br /> FINISH T SL <br /> MONEY GALLONS FAST r <br /> 0w FASOW <br /> READINGS MONEY GALLONS TOTALIZER SEALED METER SEALED <br /> START Cl YES C]NO [3 YES C]NO <br /> PRODUCT GALLONS RETURNED TO STORAGE SEAL NO. <br /> PUMP-UAXE AND MODEL SERIAL NUMBER <br /> CALIBRATION <br /> CHECKED ADJUSTED TO <br /> MONEY GALLONS FAST SLOW FAST SLOW <br /> FINISH <br /> TOTALIZER <br /> READINGS MONEY GALLONS TOTALIZER SEALED METER SEALED <br /> START 1:1 YES NO 0 YES 0 NO <br /> PRODUCT GALLONS RETURNED TO STORAGE SEAL NO. <br /> FORM 3-7EW(REV 4 86)PRINTED IN U S A UAINTENANCE COMPANY <br /> Triangle Environmental , Inc. _ <br /> DEALER'S SIGNATURE URE UAINTE NCE MANS SIGNATURE <br />