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