Title Page
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Site/Project
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Conducted on
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Prepared by
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Location
Equipment’s condition
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Hire Company
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Equipment Type
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Serial Number
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Condition
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Please provide evidence that the equipment is clean
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Equipment Type
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Serial Number
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Condition
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Please provide evidence that the equipment is clean
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Equipment Type
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Serial Number
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Condition
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Please provide evidence that the equipment is clean
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Equipment Type
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Serial Number
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Condition
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Please provide evidence that the equipment is clean
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Equipment Type
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Serial Number
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Condition
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Please provide evidence that the equipment is clean
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Equipment Type
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Serial Number
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Condition
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Please provide evidence that the equipment is clean
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Equipment Type
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Serial Number
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Condition
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Please provide evidence that the equipment is clean
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Equipment Type
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Serial Number
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Condition
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Please provide evidence that the equipment is clean
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Equipment Type
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Serial Number
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Condition
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Please provide evidence that the equipment is clean
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Equipment Type
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Serial Number
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Condition
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Please provide evidence that the equipment is clean
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Equipment Type
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Serial Number
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Condition
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Please provide evidence that the equipment is clean
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Equipment Type
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Serial Number
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Condition
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Please provide evidence that the equipment is clean
Collection
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Equipment ready for collection on designated area
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Contractor’s name
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Contractor’s Signature
