Information
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Name of Report:
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Document No.
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Fueled on:
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Prepared by:
- Paul Fiocca
- Anthony Beverly
- James Brown
- Clyde Eppard
- Richard Dickinson
- Michael Wright
- Jason Corbin
- Scott Taylor
- Hugh French
- Lee Ratliff
- Chuck Ayers
- James Shifflett
- John Hilliard
- Tom Chestnut
- Gary Berghan
- Mark A. Davis
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Location (Drop pin for GPS of fuel tank):
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Will you be fueling this piece of equipment today?
Equipment Fuel (Items in Red are mandatory sections)
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Equipment ID #: (You must input the equipment ID to complete the report)
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Please take photo of gauge when fueling is completed:
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Fuel tank reading (starting gallons):
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Gallons of Fuel Dispensed
Signature:
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Fuel Attendant: