Information
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Site Name
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Document No.
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General Contractor / Site owner
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Conducted on
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Prepared by
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Location
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Personnel
At the time of the initial diagnostic service mobilization, the Technician will note any deficiencies in the existing system regarding compliance with UL325/ ASTMF2200 standards and advise the customer of same. Systems that do not comply with current UL325/ ASTM F2200 standards may or may not be serviced at this time at our discretion. Technician will also determine at that time if the requested work is covered under warranty, at which point some or all of the charges may be waived.
Arrival Time
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Select date
Initial Findings
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Equipment
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Add media
Work Performed
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Add media
Technician’s Recommendations
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Comments
Departure Time
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Select date
Electronic Signature Acknowledgement-I agree that my Electronic signature is a Legally and Binding Equivalent to my handwritten signature. Whenever I execute an Electronic Signature, it has the same validity and meaning as my Handwritten Signature. I will not at ANY time in the future, REPUDIATE the meaning of my Electronic Signature or Claim that my Electronic Signature is not Legally Binding.
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Hercules High Security Representative
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Customer representative’s signature
