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r <br /> EARTH MANAGEMENT CO. <br /> Envbrcmfflw rte!RemeclNttom HAINTE)WCE I REPAIR REPORT <br /> A) SS �`� `L SYSTEM TYPE: <br /> B) DEFICIENCY DESCRIPTION <br /> C) NAME OF REPORTING PARTY AND DATE: <br /> D) DATE SCHEDULED <br /> 1) NAME: DATE/TIME <br /> 2) FINDINGS: <br /> 3) HAS THE JOB BEEN COMPLETED? ES 0 <br /> IF `NO-. PLEASE DESCRIBE WHY AND WHAT YoU HEED <br /> TO FINISH: <br /> • 4) POST REPAIR TEST RESULTS: <br /> 5) THE CAUSE OF THE DEFICIENCY: <br /> BRIEF INSTRUCTIONS FOR PREVENTIVE MAINTENANCE <br /> TO THE TECHNICIAN: <br /> Lk_ a 2— C��� C44-F2- 8 0 W i�fi <br /> 6) OTHER: T�U_ v I v& C4, Lu h-fF—R— RN l� <br /> �'c� P��- -cam PP►2c� kc`�'-C.r,9-r L L( <br /> 13415 Carmenita Road/P 0 Box 2129,Santa Fe Springs.CA 90670 <br />