Title Page
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Site conducted
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Conducted on
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Customer Name
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TURN ON GPS FOR CURRENT LOCATION
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Transport Company
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Manpreet Singh - 056 6837972
Pre-Pump Out Checklist
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Have you signed in?
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Have you done a Site Induction in the last 12 months?
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Has a Customer Representative attended?
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Please enter name:
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Are you wearing the SOP mandated PPE?
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Do you have unobstructed access to the Eyewash station and<br>Safety Shower? Are they working appropriately?
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Is the HAZCHEM spill kit and SDS's readily accessible?
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Is the truck positioned in an exclusion zone? Is the access area clear and unobstructed?
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On visual inspection, all pumping equipment, fittings and flexible hoses in good working order?
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HAVE YOU CHECKED THE ON-SITE TANK LEVELS OF EACH PRODUCT TO BE DELIVERED?
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TAKE PHOTOS OF EACH AVAILABLE DELIVERY DOCKET, SHOWING PRODUCT AND DELIVERY QUANTITY
Pump Out Process
- Product Delivery
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1. Select product are you delivering?
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1a. Enter the quantity you are delivering (LITRES/KGS):
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IF THERE IS MORE THAN ONE DRUM/IBC YOU WILL BE PROMPTED TO SCAN ALL INDIVIDUAL DRUMS/IBCs
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1b. DOES THE TOTAL DELIVERY QUANTITY (IN LITRES/KGS) FIT IN THE RECEIVING TANK?
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DO NOT DELIVER THIS PRODUCT. RETURN IT TO THE DEPOT.
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SELECT NEXT PRODUCT FOR DELIVERY
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2. Please scan product QR on the drum:
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You have selected 85035 POWDER 750KG
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3. Please scan infeed line QR code:
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YOU HAVE SLECTED 85035 POWDER 750KG
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***DRIVER INSTRUCTIONS***
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CONNECT CAMLOCK FITTING AND TAKE A PHOTO OF FITTED CAMLOCK AND INFEED LINE LABEL.
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YOU MAY START THE PUMP OUT PROCESS
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4a. Do you have another drum/IBC of 85035 POWDER 750KG?
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4b. Scan second drum/IBC of 85035 POWDER 750KG:
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You have selected 85035 POWDER 750KG
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You may pump out the second drum/IBC.
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4c. Do you have another drum/IBC of 85035 POWDER 750KG?
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4d. Scan third drum/IBC of 85035 POWDER 750KG:
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You have selected 85035 POWDER 750KG
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You may pump out the third drum/IBC.
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4e. Do you have another drum/IBC of 85035 POWDER 750KG?
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4f. Scan fourth drum/IBC of 85035 POWDER 750KG:
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You have selected 85035 POWDER 750KG
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You may pump out the fourth drum/IBC.
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4g. Do you have another drum/IBC of 85035 POWDER 750KG?
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If you have other products, please Select " Add Product Delivery" on the blue button below. Otherwise go to page 4 marked below.
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4h. Scan fifth drum/IBC of 85035 POWDER 750KG:
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You have selected 85035 POWDER 750KG
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You may pump out the fifth drum/IBC.
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4i. Do you have another drum/IBC of 85035 POWDER 750KG?
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4j. Scan sixth drum/IBC of 85035 POWDER 750KG:
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You have selected 85035 POWDER 750KG
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You may pump out the sixth drum/IBC.
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If you have other products, please Select " Add Product Delivery" on the blue button below. Otherwise go to page 4 marked below.
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DO NOT PROCEED. YOU MUST SCAN THE CORRECT BARCODE AS PER THE PRODUCT.
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If you have other products, please Select " Add Product Delivery" on the blue button below. Otherwise go to page 4 marked below.
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DO NOT PROCEED. YOU MUST SCAN THE CORRECT BARCODE AS PER THE PRODUCT.
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DO NOT PROCEED. YOU MUST SCAN THE CORRECT BARCODE AS PER THE PRODUCT.
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If you have other products, please Select " Add Product Delivery" on the blue button below. Otherwise go to page 4 marked below.
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DO NOT PROCEED. YOU MUST SCAN THE CORRECT BARCODE AS PER THE PRODUCT.
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If you have other products, please Select " Add Product Delivery" on the blue button below. Otherwise go to page 4 marked below.
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DO NOT PROCEED. YOU MUST SCAN THE CORRECT BARCODE AS PER THE PRODUCT.
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If you have other products, please Select " Add Product Delivery" on the blue button below. Otherwise go to page 4 marked below.
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DO NOT PROCEED. YOU MUST SCAN THE CORRECT LINE QR CODE.
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DO NOT PROCEED. YOU MUST SCAN THE CORRECT BARCODE AS PER THE PRODUCT.
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1a. Enter the quantity you are delivering (LITRES/KGS):
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IF THERE IS MORE THAN ONE DRUM/IBC YOU WILL BE PROMPTED TO SCAN ALL INDIVIDUAL DRUMS/IBCs
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1b. DOES THE TOTAL DELIVERY QUANTITY (IN LITRES/KGS) FIT IN THE RECEIVING TANK?
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DO NOT DELIVER THIS PRODUCT. RETURN IT TO THE DEPOT.
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SELECT NEXT PRODUCT FOR DELIVERY
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2. Please scan product barcode on the drum:
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You have selected 85050 POWDER 750KG
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3. Please scan infeed line QR code:
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***DRIVER INSTRUCTIONS***
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CONNECT CAMLOCK FITTING AND TAKE A PHOTO OF FITTED CAMLOCK AND INFEED LINE LABEL.
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YOU MAY START THE PUMP OUT PROCESS
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4a. Do you have another drum/IBC of 85050 POWDER 750KG?
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4b. Scan second drum/IBC of 85050 POWDER 750KG:
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You have selected 85050 POWDER 750KG
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You may pump out the second drum/IBC.
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4c. Do you have another drum/IBC of 85050 POWDER 750KG?
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4d. Scan third drum/IBC of 85050 POWDER 750KG:
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You have selected 85050 POWDER 750KG
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You may pump out the third drum/IBC.
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4e. Do you have another drum/IBC of 85050 POWDER 750KG?
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4f. Scan fourth drum/IBC of 85050 POWDER 750KG:
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You have selected 85050 POWDER 750KG
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You may pump out the fourth drum/IBC.
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4g. Do you have another drum/IBC of 85050 POWDER 750KG?
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If you have other products, please Select " Add Product Delivery" on the blue button below. Otherwise go to page 4 marked below.
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4h. Scan fifth drum/IBC of 85050 POWDER 750KG:
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You have selected 85050 POWDER 750KG
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You may pump out the fifth drum/IBC.
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4i. Do you have another drum/IBC of 85050 POWDER 750KG?
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4j. Scan sixth drum/IBC of 85050 POWDER 750KG:
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You have selected 85050 POWDER 750KG
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You may pump out the sixth drum/IBC.
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If you have other products, please Select " Add Product Delivery" on the blue button below. Otherwise go to page 4 marked below.
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DO NOT PROCEED. YOU MUST SCAN THE CORRECT BARCODE AS PER THE PRODUCT.
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If you have other products, please Select " Add Product Delivery" on the blue button below. Otherwise go to page 4 marked below.
-
DO NOT PROCEED. YOU MUST SCAN THE CORRECT BARCODE AS PER THE PRODUCT.
-
DO NOT PROCEED. YOU MUST SCAN THE CORRECT BARCODE AS PER THE PRODUCT.
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If you have other products, please Select " Add Product Delivery" on the blue button below. Otherwise go to page 4 marked below.
-
DO NOT PROCEED. YOU MUST SCAN THE CORRECT BARCODE AS PER THE PRODUCT.
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If you have other products, please Select " Add Product Delivery" on the blue button below. Otherwise go to page 4 marked below.
-
DO NOT PROCEED. YOU MUST SCAN THE CORRECT BARCODE AS PER THE PRODUCT.
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If you have other products, please Select " Add Product Delivery" on the blue button below. Otherwise go to page 4 marked below.
-
DO NOT PROCEED. YOU MUST SCAN THE CORRECT LINE QR CODE.
-
DO NOT PROCEED. YOU MUST SCAN THE CORRECT BARCODE AS PER THE PRODUCT.
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1a. Enter the quantity you are delivering (LITRES/KGS):
-
IF THERE IS MORE THAN ONE DRUM/IBC YOU WILL BE PROMPTED TO SCAN ALL INDIVIDUAL DRUMS/IBCs
-
1b. DOES THE TOTAL DELIVERY QUANTITY (IN LITRES/KGS) FIT IN THE RECEIVING TANK?
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DO NOT DELIVER THIS PRODUCT. RETURN IT TO THE DEPOT.
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SELECT NEXT PRODUCT FOR DELIVERY
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2. Please scan product barcode on the drum:
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You have selected 85110 LIQUID 1000KG
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3. Please scan infeed line QR code:
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You have selected 85110 LIQUID 1000KG
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***DRIVER INSTRUCTIONS***
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CONNECT CAMLOCK FITTING AND TAKE A PHOTO OF FITTED CAMLOCK AND INFEED LINE LABEL.
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YOU MAY START THE PUMP OUT PROCESS
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4a. Do you have another drum/IBC of TURBO BREAK 200LT?
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4b. Scan second drum/IBC of TURBO BREAK 200LT:
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You have selected 85110 LIQUID 1000KG
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You may pump out the second drum/IBC.
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4c. Do you have another drum/IBC of 85110 LIQUID 1000KG?
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4d. Scan third drum/IBC of 85110 LIQUID 1000KG:
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You have selected 85110 LIQUID 1000KG
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You may pump out the third drum/IBC.
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4e. Do you have another drum/IBC of 85110 LIQUID 1000KG?
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4f. Scan fourth drum/IBC of 85110 LIQUID 1000KG:
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You have selected 85110 LIQUID 1000KG
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You may pump out the fourth drum/IBC.
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4g. Do you have another drum/IBC of 85110 LIQUID 1000KG?
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If you have other products, please Select " Add Product Delivery" on the blue button below. Otherwise go to page 4 marked below.
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4h. Scan fifth drum/IBC of 85110 LIQUID 1000KG:
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You have selected 85110 LIQUID 1000KG
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You may pump out the fifth drum/IBC.
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4i. Do you have another drum/IBC of 85110 LIQUID 1000KG?
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4j. Scan sixth drum/IBC of 85110 LIQUID 1000KG:
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You have selected 85110 LIQUID 1000KG
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You may pump out the sixth drum/IBC.
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If you have other products, please Select " Add Product Delivery" on the blue button below. Otherwise go to page 4 marked below.
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DO NOT PROCEED. YOU MUST SCAN THE CORRECT BARCODE AS PER THE PRODUCT.
-
If you have other products, please Select " Add Product Delivery" on the blue button below. Otherwise go to page 4 marked below.
-
DO NOT PROCEED. YOU MUST SCAN THE CORRECT BARCODE AS PER THE PRODUCT.
-
DO NOT PROCEED. YOU MUST SCAN THE CORRECT BARCODE AS PER THE PRODUCT.
-
If you have other products, please Select " Add Product Delivery" on the blue button below. Otherwise go to page 4 marked below.
-
DO NOT PROCEED. YOU MUST SCAN THE CORRECT BARCODE AS PER THE PRODUCT.
-
If you have other products, please Select " Add Product Delivery" on the blue button below. Otherwise go to page 4 marked below.
-
DO NOT PROCEED. YOU MUST SCAN THE CORRECT BARCODE AS PER THE PRODUCT.
-
If you have other products, please Select " Add Product Delivery" on the blue button below. Otherwise go to page 4 marked below.
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DO NOT PROCEED. YOU MUST SCAN THE CORRECT LINE QR CODE.
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DO NOT PROCEED. YOU MUST SCAN THE CORRECT BARCODE AS PER THE PRODUCT.
Post-Pump Out Tank Levels
- TANK LEVELS
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PLEASE SELECT THE PRODUCT THAT HAS BEEN DELIVERED.
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YOU HAVE SELECTED OPTIMER 85050 PLUS. PLEASE ENTER TANK LEVEL (LITRES/KGS).
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TAKE PICTURE OF TANK SHOWING LEVELS
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If there are no further tank levels to record, please move onto the next page.
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YOU HAVE SELECTED OPTIMER 85035 PLUS. PLEASE ENTER TANK LEVEL (LITRES/KGS).
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TAKE PICTURE OF TANK SHOWING LEVELS
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If there are no further tank levels to record, please move onto the next page.
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YOU HAVE SELECTED NALCO 85110. PLEASE ENTER TANK LEVEL (LITRES/KGS).
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TAKE PICTURE OF TANK SHOWING LEVELS
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If there are no further tank levels to record, please move onto the next page.
Close out Checklist
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Is the site clean and tidy?
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Please take a photo of the area:
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Is there any product left in the silo tank
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For product leftover - please contact Ecolab representative.
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Customer signature:
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Drivers signature: