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DAILY AND MONTHLY EXAMINATION OF VENTILATION EQrr~~UIPMENT <br />Date _ ~_'_f v_7_'_~Q---------------- <br />yy~~ G ~ Time __ Q ~ ~ P----------------------- <br />Fan _~_~L7 ~l~_L--------------------------------- - I , <br />Location _11Q~_r__h__d~ ~~%~!~-------------------------------.._~ ~ •~ <br />------ ---------------- ---------------- <br />Fan Operating Properly _~__~_+ <br />Water Gage Pressure --~-`~~'--------------------------------------------------- <br />Fan Signal Check (monthly) _s~^_~ ~ F~ <br />Previous Check Made _________!_ _~~ <br />-------Q--j-'---------'------------------------ <br />Automatic Closing Doors (monthly) _~_ -_f__LJ ~________________________________ <br />Previous Examination Made ______y_~ ~ ~ !_~ <br />----------------------------------- <br />Remarks or changes __ <br />• Signed ___ _ _________ <br />(examiner) <br />_ ~d~~7 <br />ine man- one Maneaer Certificate Number 6uperintendent or Aexlelant <br />FORM 6-1 a91 - ameri In[ing co„ matliSOnville, ky. <br />