Title Page
-
Prepared by
-
Payzone Personnel
-
Customer
-
Lease
-
Job#
-
Asset
-
Tank Secure?
-
Water Level Tank #1
-
Water Level Tank #2
-
Tank Valves
-
Plugs in Open Valves
-
Test Hose Condition (primary)
-
Test Hose Condition (secondary)
-
Spare Rupture Disk
-
Rebuild Kit Pressure Control Valve
-
Rebuild Kit Pressure Regulating Valve
-
Well Head Connection
-
Pressure Gauge
-
Spare Pressure Gauge
-
Chart Recorder
-
Chart Recorder Certification Date
-
Extra Charts
-
Extra Battery
-
Spare Markers for Chart Recorder
-
Spare High-Pressure Fittings- 1/2'', 9/16'', 3/4'', 1''
-
Tank Suction Fittings - 1'', 2'', 3'' 4''
-
Tank Fill-up Hose
-
Oil Level Motor
-
Oil level Pump
-
Belt Condition
-
Radiator Antifreeze Level
-
Trailer Frame
-
Trailer Tires
-
Spare Tires
-
Trailer Lights
-
Ground Rod and Cable
-
By signing I agree this inspection was completed
