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<br />,'. <br />I' <br />~' <br />DAILY AND MONTHLY EXAMINATION OF VENTILATION EQUIPMENT <br />Date --- ---- -------------- <br />~/I /~ y+~r, ~ ~ Time ---V_Y_~~-------------------- <br />Fan ---11Si_~_I__`•-------------------------------°------------------------------------==- <br />Location _ll<-.3M_~_L_41_~ FIL.fL_Lif1~-----------_-----------------=-! ~'- -_---~ ---_--- F-~-~ -J L-------__- <br />Fan Operating Properly _-S_~~----------------------------------------------- ~------------------------- <br />Water Gage Pressure ' S <br />Fan Signal Check (monthly) -- ~ --`--`__~ -------------------------------------------------------------------- <br />Previous Check Made -°-----1-- [ l -`-a -ff-''-~~-pp----------------------------------------------------------------- <br />Automatic Closing Doors (monthly) __s~_!_~D _______________________________________ <br />Previous Examination Made ______ y .«_=L_~ ________________________________________________________ <br />Remarks or changes ----~~~t-__---:__ ~ ~ -__III~- - --~°i`!-/~------------- <br />----------------------~1`~- s~------~ r~-~~-------------------------------------- <br />~'` <br />,,~ <br />., <br />~'I <br />('' I <br />~i, <br />{ ~: <br />~ r 4 ~/~Q <br />' ~~ ~ Signed ~~~ J_~l- -]! _µ ------_-' <br />(exdminer~ <br />----~- - -------- - -------- -----1_~a~~------- --~--'~`------------------ <br />Nine For man-Nine Mavicer Grti tale NumLer auDennsendens or AuieMnt <br />FO R!A 6-1491 - America pr g co., matlisonville, ky. <br />l~ <br /> <br />('• ! <br />Ii~ <br />