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REPAIR DATA SHEET � j` <br /> _ Page of <br /> Client G c 1 <br /> Date Z p 3 <br /> Stte,Address 3 [ GtF� s roc tom <br /> Job Number 0 30 L i I - rS _Technician ra•-�h <br /> Repair Location <br /> Repair Location L✓- <br /> Deficiencies Corrected Deficiencies Corrected rG e <br /> f <br /> Materials Used a GIS Materials Used 1 D L J <br /> Repair Locatiort /'1 v 3 Repair Location "M L./ <br /> Deficiencies Corrected rc tr1-r..A <br /> Deficiencies Corrected tri t aGa� <br /> V <br /> Materiais Used d L Materlats Used <br /> Repair Location Repair Location <br /> oeficiencles Corrected Deficiencies Corrected <br /> s <br /> Materials Used Materials Used <br /> BLAINE TECH SERVJC�p.INC. SAN JUSE SACRAMENTO LOS ANGELES SAN 01W.A3 www hIshelad,enm <br />