Title Page
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Conducted on
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Prepared by
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Location
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I have returned the below equipment items.
I understand that is there is any equipment missing, this may be deducted from my last months salary.
Equipment
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IPAD
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Issued
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Returned
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TESTER
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Issued
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Returned
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FUEL CARD
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Issued
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Returned
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ID CARD
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Issued
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Returned
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SDS DRILL
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Issued
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Returned
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VAN KEY/FOB
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Issued
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Returned
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UNIFORM
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Issued
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Returned
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SAT-NAV
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Issued
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Returned
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MOBILE
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Issued
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Returned
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PDA
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Issued
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Returned
Sign Off
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Manager's Name and Signature
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Employee Name and Signature