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air.wjnanc/ a air Log and <br />ISD lar Lo <br />Site' Name: -Address:.".'— <br />Date/Time <br />ddress:..: <br />Date/Time <br />Date/Time <br />Component <br />Date/Time <br />Technician Information <br />Date of Name, Affiliation, Phone <br />Type of <br />Service <br />Type of Service Performed and the <br />Problem <br />Removed <br />Service Call <br />Made' <br />a <br />Service Number and Certification <br />(Repair or ISD <br />Outcome <br />Detected' <br />from <br />2 <br />Number <br />Alarm)6 <br />Service <br />,sPn <br />---- ---_--- --_ -- <br />n <br />f I5� i 3 to <br />------------- <br />00fug <br />3>- <br />vVl <br />I u7v <br />ern- <br />---- - - <br />----- <br />ru ----- <br />Ve fl6p_f <br />- — <br />1 O1 <br />rn <br />-------_- <br />— -- <br />-- --- <br />-- <br />— ur tau r <br />'Record date and time the problem was detected. Include equipment defects or ISD alarms. <br />2Record date and time component was taken out of service, if applicable. <br />3Record date and time the service call was made. <br />°Record date and time service was performed. <br />5Record certified repair technician's name, company affiliation, phone number and certification number from applicable manufacturer. <br />6Record the nature of the service call (repair or replace a component or respond to ISD alarm). Include ISD alarm type, if applicable. <br />'Record brief explanation of service performed, including outcome of service (repaired, tested and returned to service, waiting for parts, etc). Any and all actions <br />taken to identfy the cause of an ISD alarm, including the actual results of tests performed in accordance with the IOM requirements for that alarm (results <br />may be attached), must also be noted here or in supporting documents. <br />il <br />J <br />