When a truck driver just can't seem to figure out how to fix his fire truck. He is said to be "puffed off" as to keep from using inappropriate language in the workplace. Usually if the driver is from a strict upbringing.
Well jiminy christmas! I can't seem to fix this darn truck, now I'm puffed off! Silly air leaks!
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Getting a Blow Job. Also known as being puffed or sucked off
I met a native girl on a bc ferry once and she puffed me off below deck