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DAILY REPAIR LOG - <br />Company Name: Address: 3 3 3 0 A +A k f W19 e✓ <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 />Date/Time <br />Description of Repair or Remedy <br />Name, Company, <br />Address & Phone <br />Defect <br />Description of Defect <br />- <br />of Repair <br />List each component repaired, replaced and/or <br />Number of Person Who <br />installed including the make, model and serial number <br />Performed Repair <br />�Pr�� <br />�ZZ <br />� ,f3�v�C�r- <br />A/��� L <br />n���� c �--- <br />�,� UZ �. �,s,� <br />5� ,� <br />9,ao <br />-9-007 <br />E mc© � <br />v - <br />ow uc,¢- ,49^ <br />vN <br />gel- ve-j <br />ausfrry WOO f�i��- <br />11 <br />