Advanced Ansi 9206C-LE Manuale di istruzioni per l'utente - Pagina 11

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Product :
Model & type/identication
Manufacturer
Year of manufacture
Other relevant information (e.g. Document number)
Date
Reason for entry
(periodic examination
or repair)
Advanced Safety Solutions Inc.
EQUIPMENT RECORD
Trade name
Address
Purchase date
PERIODIC EXAMINATION AND REPAIR HISTORY
Defects noted, repairs
carried out and other
relevant information
304, County Park Road, Avella, Pa 15312.
Identication number
Tel, fax, email into use
Date rst put into use
Name and signature
of competent user
Periodic examination
next due date