TE___2.pdf

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Washer and Dryer Installation/Maintenance Service Contract
Solicitation number
W9124819R0003
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service ticket example

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TECHNICAL EXHIBIT 2

SERVICE/MAINTENANCE WORK TICKET

TO BE FILLED IN BY GOVERNMENT PERSONNEL

INFORMATION REQUIRED FROM INDIVIDUAL AT MACHINE LOCATION

DATE: __________ TIME: ___________ NAME & PHONE #: ___________________________ BLDG #: _______

MACHINE ID #: DECK #: DESCRIPTION OF PROBLEM/MALFUNCTION:

TO BE FILLED IN BY CONTRACTOR

Repairs Made/Parts Used:

Parts Placed on Order: Yes ______ No ______Date: ______________________ Time: ____________

STATUS CHECK FOR PARTS DELIVERY

No. Name of Person Making Check Date of Check Parts Delivery Date Est. Repair Date

1. ___________________________ __________ _____________ ______________

2. ___________________________ ____________ _____________ ______________

Printed Name of Mechanic Performing Repair Signature

Contractor

Individual’s Printed Name Signature Telephone #

Date/Time Machine Repaired:

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