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DRAIN AND/OR PURGE STATEMENT REFERENCE DTID: DATE: …

DRAIN AND/OR PURGE STATEMENT REFERENCE DTID: DATE: I CERTIFY THAT THIS EQUIPMENT IS FREE OF ALL HAZARDOUS FLUIDS, GARBAGE & HAZARDOUS MATERIALS TO INCLUDE COOLANTS, ENGINE OIL, TRANSMISSION FLUID, AXLE AND DIFFERENTIAL OIL, TRANSFER CASE OIL, BATTERIES AND ANY OTHER FLUIDS CONTAINED IN THIS ITEM. POC: SIGNATURE: E-MAIL: PHONE.

reference dtid: date: i certify that this equipment is free of all hazardous fluids, garbage & hazardous materials to include coolants, engine oil, transmission fluid, axle and differential oil, transfer case oil, batteries and any other fluids contained in this item. poc:

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