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MAN.234 Rev.6 ENG - Use and maintenance manual S19HD page 118 of 126
Stamp and signature of the responsible
for the firm in charge
The user
Description of the failure............................................
..……………………..……………………………………
..……………………..……………………………………
Cause……...……………..……………………………..
..…………………………..………………………………
..……………………..……………………………………
Repairs performed ……………..………………………
..…………………………………………………………
..……………………..……………………………………
Place………. Date……………
Stamp and signature of the responsible
for the firm in charge
The user
Description of the failure............................................
..……………………..……………………………………
..……………………..……………………………………
Cause……...……………..……………………………..
..…………………………..………………………………
..……………………..……………………………………
Repairs performed ……………..………………………
..…………………………………………………………
..……………………..……………………………………
Place………. Date……………
Stamp and signature of the responsible
for the firm in charge
The user

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