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r <br />M <br />0 <br />rA <br />DAILY REPAIR LOG <br />A4 <br />Name: ]Address: , <br />INSTRUCTIONS: <br />Complete an entry for each defeciency that you entered an 'X' on the Inspection Checklist. <br />Maintain copies of receipts, or other documentation, for parts and/or equipment used in the repair. If applicable, work <br />orders shall include the name (printed) and signature of the person responsible for performing the repairs. <br />Date of <br />Defect <br />Description of Defect <br />Date/Time <br />of Repair <br />Description of Repair or Remedy <br />List each component repaired, replaced and/or <br />Name, Company, <br />Address & Phone <br />mNuber of Person Who <br />I <br />installed including the make, model and serial number <br />Performed Repair <br />hA C <br />S-tej'!�O'e— FAV LT <br />L /-3 FtAt-L- 14LA-P9 <br />('t*- <br />-7T <br />