Feed Back Sheet:

I have reviewed the enclosed information regarding the ItzaGasCan one-time use emergency fuel carrier.

Upon review I find the following

_____ The ItzaGasCan is approved to be filled with gas at gas stations in my state

_____ The ItzaGasCan is not approved to be filled with gas at gas stations in my state

_____ I am not the appropriate authority to determine is the ItzaGasCan should be filled at gas stations in my state. Please contact _____________________________

Comments_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

State of Authoritative Jurisdiction____________________________________________

Signed_________________________________________________________________

Printed Name____________________________________________________________

Title___________________________________________________________________

Fax to 303-805-2804-Thanks!