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1� <br /> PraimntaemnancelRepair Log and EE <br /> TAddrEess: <br /> ame: <br /> 1SD�41arm Log ; <br /> Date/Time ISD Alarm Date/Time Date/Time <br /> Problem as Indicated Date of Technician Information <br /> Service Call a Name Component <br /> Disc,--d on Console Made' Service ,Affiliation, Phone Nn�+ber andService Performed and the. <br /> (if applicable)Z .ertification Numbe Removed Outcome' i <br /> _ from Service' <br /> NX ATO <br /> lelLt' (k) U #' o�Z , <br /> I <br /> M <br /> lecord date and time any vapor recovery equipment problem (damaged or defective equipment or ISD alarms)was discovered. <br /> lecord the name of the ISD alarm as it reads on the ISD console. <br /> lecord date and time the service call was made. Q <br /> lecord date and time service was performed. T z <br /> lecord certified repair technician's name,company affiliation,phone number and certification number from > �' j� <br /> lecord date and time component was taken out of service, if applicable. applicable manufacturer. cJ c� , ® ! <br /> ecord brief explanation of service performed, including outcome of service (repaired,tested and returned to service,waiting for parts, An <br /> taken to identify the cause of an ISD alarm, including the actual results of tests performed in accordance with the IOM requir�i�s of�hat II ons <br /> may be attached),must also be noted here or in supporting documents. (results i <br /> ! i <br /> Rev.Q/1 2 <br />