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Incubator : _______________________________________________________________
Serial Number : _______________________________________________________________
Person in Charge : _______________________________________________________________
1. This log record should be used by the operator to record any new agent that has been introduced to
the incubator during its operation, problems encountered, etc.
2. Please also record any major maintenance procedure performed by the service technician, for
example: parts replacement, recertification, etc.
Date Event User Signature Supervisor Signature
In case of emergencies, please call:
Name
: _______________________________________________________________
Cell Phone Number : _______________________________________________________________
E-mail : _______________________________________________________________