Title Page
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Payzone personnel on location
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Prepared by
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Customer:
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Lease:
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Job #:
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Select date
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Asset #
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Location
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Fuel Level
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Oil Level
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Belts
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Regulators
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Pressure Cut Off Working Correctly
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Relief Valve
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Grease Level Drum #1
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Grease Level Drum #2
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Condition of Skid
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Skid Picture
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Skid Picture
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Skid Picture
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Skid Picture
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By signing, I agree I have completed this inspection as a competent representative of Payzone Completions.