Title Page
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Conducted on
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Prepared by
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Did the fuel agent complete the After Fueling Checklist?
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Did the fuel circle the Fuel Density?
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Did the fuel agent circle the Aircraft Number?
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Did the fuel agent add the Fuel Grade?
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Did the fuel agent complete the Before Fueling section?
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Did the fuel agent complete the After Fueling section?
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Did the fuel agent complete the Calculated Fuel Added section?
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Did fuel agent complete the Add The Gallons From Meter section?
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Did the fuel agent complete the Actual Difference section?
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Did the fuel agent Initial Fuel Cap Installed section?
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Did the fuel agent Initial Fuel Panel Door Closed?
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Did the fuel agent add their Signature and Employee Number?
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Did the fuel agent add the Equipment Number?
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Add media
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Add signature
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Select date
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Add location