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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:
INSPECTION AND MAINTENANCE LOG
INSPECTION ITEMS
NOTED
DATE OF FIRST USE:
CORRECTIVE ACTION
MAINTENANCE
PERFORMED
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