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i <br /> REPAIR DATA SHEET Pageof 2 <br /> Ciient Date <br /> Site Address z S?s G oym C.h a e <br /> Job Number to-c- a a- TM 1 Technician . R.(Ki-t-a <br /> Repair Location tvi - Ilk Repair Location tillyi" <br /> Uefidenclas Corrected NwT tl1D 5 f+�C1<- K Deficiencies Corrected /J 0 &IWI,. SEA L <br /> g,LAC irint500 1h Korfs off- Io &fift.Arr pro jtr#"%I- S G:4L- -- -- - <br /> I.1 Ol�itt:i✓D owT 'l <br /> N P <br /> f-wf Art civ . <br /> IV Pose 001 EVE ff Ofc,LY �,? Azkgg l <br /> Matertals Used 1{ 1rsOt_tS Materials Used ` �''n^ ,S6Ai <br /> Repair Location 111/..Z Repair Location A l� f <br /> I0 L.t d I Nl �iS lll� <br /> Deficiencies Corrected 7- $a L.Ts 7"t SS"A)(7 <br /> Deficiencies Corrected . <br /> - <br /> 0 k wo oD Nod 0 �N sPu <br /> a <br /> Materials Used W �L�� J LP,46.5-(Ilft /f, Matenais Used -2, 5v,-V% <br /> SeAjolkira. 1AQ ULIL <br /> Repair Locatlon f 4 tV- 1 Z <br /> Repair Location MW't 3 1� t <br /> Deficiencies Corrected 1N 0 Q,l� L 0efiraencles Corrected �A P r--*N C R'A MW Er-- . <br /> 4 G IrM sra►L _if a- TI4S� GGKfJ4 P,BauT To BRf� <br /> Materials Used F- t v, S V Materials Used oqn ✓ QA&5 6-11 -fff, <br /> BLAINE TECH SERVICES INC SAN JOSE SACRAMENTO LOS ANGELES <br /> SAN DIEGO www_61au%aledLcD'n <br />