Title Page
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Prepared by
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School Name
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Notes
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Start Time
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Project Number
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Incident Number
Classroom Information
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Classrooms
Room
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Room Number
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Amplifier Serial Number
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Sensor Serial Number
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MicroTear Serial Number
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Handheld Serial Number
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Picture of Microphones
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Picture of Amp
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Picture of Above Ceiling
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Notes
Completion Information
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Completion Time
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Additional Notes/Equipment Sign Off
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Items Left
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Signature of School Representative