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Ultra-safe 96305NTM User Instruction Manual page 7

Tongue buckle harness

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INSPECTION AND MAINTENANCE LOG
Serial Number:
Model Number:
Date Purchased:
Inspection Date
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
Approved By:
I acknowledge that I have read and understood this instruction manual including all warnings, policies and
Approved By:
procedures in their entirety and agree to abide by them.
Approved By:
Name (Printed) _____________________________________________________ Date ___________________
Signature _________________________________________________________________________________
Inspection Items Noted
Date of First Use:
Corrective Action
7
Maintenance Performed

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