Page 2
Verification of Checks and repairs
CLOU
Serial number:
………………………
.
……………
First check by ICARO / date:
…
.
…………………
…………………………
.
Name/ Stamp
Check (C)
Repair (R)
Which repair/ Check?
Check valid until?
Performed by/ date
Porosity value
Strength value of the lines
Estimated condition
optical:
technical:
Check (C)
Repair (R)
Which repair/ Check?
Check valid until?
Performed by/ date
Porosity value
Strength value of the lines
Estimated condition
optical:
technical:
Check (C)
Repair (R)
Which repair/ Check?
Check valid until?
Performed by/ date
Porosity value
Strength value of the lines
Estimated condition
optical:
technical:
Summary of Contents for CLOU
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