Information
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Project Number
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Branch 5-Digit
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Customer/Site
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Conducted on
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Prepared by
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Location
Machine Removal
- Machine
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What Type of Machine
- Fast 5000
- Fast 3000
- Fast Beverage
- Fast 2000 CT
- Fast 4000 CT
- Fast 10000
- Fast 10000 SL Locker Unit
- Outdoor Locker
- 12-Door Locker
- 3-Door Locker
- 18-Door Locker
- 27-Door Locker
- 30-Door Locker
- 33-Door Locker
- 36-Door Locker
- Stand Alone Controller
- AirCard
- Ethernet Cable
- Ethernet Switch
- Wireless Bridge
- Extension Cord/Dongle
- Power Strip
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Serial Number of Machine
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Take picture of Machine
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Comments/Notes/Issues or missing equipment
Issues & Build Center
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Enter Comments and Issues here
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Removal is complete?