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Lgu Calibration

The document is a calibration and sealing report for the MZC Fuel Station located in Tabina, Zamboanga del Sur. It includes details such as the owner's name, contact information, and the calibration results for fuel flow measurements. The report must be prepared in duplicate for the local government unit and the business owner, with specific instructions for submitting security seal pictures.

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Christine Bernal
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553 views1 page

Lgu Calibration

The document is a calibration and sealing report for the MZC Fuel Station located in Tabina, Zamboanga del Sur. It includes details such as the owner's name, contact information, and the calibration results for fuel flow measurements. The report must be prepared in duplicate for the local government unit and the business owner, with specific instructions for submitting security seal pictures.

Uploaded by

Christine Bernal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Municipal Treasurer Office/BPLO

Municipality of Tabina
Poblacion, Tabina, Zamboanga del Sur
Mobile No. 09484523625 Email Address____________________
CALIBRATION AND SEALING SHEET/REPORT/CERTIFICATE
Reference No. LGU TABINA-2025-001, Date conducted: _____________
FUEL RETAIL OUTLET DETAILS:
BUSINESS NAME: MOBILE NOS.: CERTIFICATE OF COMPLIANCE (COC) NO.
MZC FUEL STATION 09190074596

OWNER NAME: EMAIL ADDRESS: COC EXPIRY:


MARK JUBERT D. BERNAL SHOCKWAVE771991@GMAIL.COM

ADDRESS: PUROK MASANAGON, ABONG-ABONG, TABINA, GPS ADDRESS: CALIBRATING BUCKET EXPIRY:
ZAMBOANGA DEL SUR

Seal Details, if
BRAND MODEL SERIAL #S FUEL Initial Totalizer Fast Flow Medium Slow Flow Average Final Totalizer any. Ex. Serial
Type Reading Flow Flow Test Reading Number

Note: Final/Fast Flow Test should be as close to zero as possible. Submit picture of the security seal (visible serial #s for plastic seal or die press marking of company/lgu initials in lead seal) at mechanical wheel,
pulser and/or board whichever is applicable. Prepare in duplicate (original copy-LGU, duplicate-Business Owner, DOE-MFO electronic copy to be emailed by the LGU)
Calibration conducted by: Calibration/sealing conducted or witness by:

________________________________ ________________________________
Technician LGU Representative
Company Name:__________________
Mobile Contact #s_________________ Mobile Contact #s_________________
Email Address:____________________ Email Address:____________________

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