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PPF <br /> Maintenance/Repair Log and site Name: <br /> ISCAlarm Log City: s: <br /> ISD Alarm Date/Time <br /> Problem <br /> Date/Time Technician Information Component Service Performed and the <br /> as Indicated Date of ' <br /> Problem Service Call a Name, Affiliation, Phone Number and <br /> Covered' on Console Ma fia SPrylce Certification Numbers Removed Outcome <br /> C _ (It applicable) _ from F re6 <br /> LA 1112-t <br /> LX "'ry <br /> /2 2 � tiKZI /Z 6l m <br /> M a <br /> D z I <br /> fr i <br /> z-- <br /> Record date and time any vapor recovery equipment problem (damaged or defective equipment or ISD alarms)was discovered. :71 <br /> Record the name of the ISD alarm as it reads on the ISD console. M � o , <br /> Record date and time the service call was made. ` <br /> Record date and time service was performed. ITI <br /> Record certified repair technician's name,company affiliation, phone number and certification number from applicable manufacturer. D <br /> Record date and time component was taken out of service, if applicable. -�—I <br /> Record brief explanation of service performed, including outcome of service(repaired,tested and returned to service,wafting for parts,etc). Any and all aie4ns i <br /> taken to Identify 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 /> Rev. 8/20/12 <br />