Information

  • DOCUMENTO No.

  • FECHA

  • TIPO DE SERVICIO

DATOS DEL CLIENTE

  • ENTIDAD

  • RESPONSABLE

DATOS DEL EQUIPO

  • DESCRIPCIÓN

  • MARCA

  • MODELO

  • SERIE

DESCRIPCIÓN DEL PROBLEMA

TRABAJO EFECTUADO

  • REVISIÓN GENERAL

  • CHEQUEO ELECTRICO

  • CHEQUEO MECANICO

  • LUBRICACIÓN

  • LIMPIEZA

  • CALIBRACIÓN DE MOVIMIENTOS

OBSERVACIONES

  • FIRMA TECNICO DE SERVICIO

  • FIRMA CLIENTE

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