Information
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KTS or CHINY
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Service Contract
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Inspection No.
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Conducted on
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Inspected by
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Inspection Attendees
- Michael Le
- Alicia Castro
- None
- Wayne Hughes
- Chelsea Astruc
- Regina Willis
- Pete Watson
- Doug Papineau
- Line Item
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Facility
- Carter-Keep CH
- Schwartz CH
- Schwartz FOB
- Weinberger CH
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Floor
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Location
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Does the issue Satisfactorily meet the contract requirements?
Finalize
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Inspector's Signature
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Corrective Action Completion Date:
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Corrective Action Completion Name(print) and Signature:
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Do not sign and return this report until ALL of the unsatisfactory items are completed. Pleas verify that each of the items are complete before signing.
