Title Page
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Building / Client site
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Conducted on
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Prepared by
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Location
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Scheduled Maintenance
Building Maintenance
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Site
Site Issue
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Please describe the issue
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Photo (optional)
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Building Exterior
Exterior Issue
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Please describe the issue
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Photo (optional)
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Building Interior
Interior Issue
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Please describe the issue
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Photo (optional)
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Electrical Equipment
Equipment Issue
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Please describe the issue
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Photo (optional)
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Roof
Roof Issue
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Please describe the issue
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Photo (optional)
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Plumbing
Plumbing Issue
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Please describe the issue
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Photo (optional)
Completion
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Name and signature: