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UNIVERSITY OF SOUTHERN MINDANAO UNIVERSITY OF SOUTHERN MINDANAO

Kabacan, Cotabato Kabacan, Cotabato


Philippines Philippines
LOCATIONFIRE
/ EXTINGUISHER FIRE EXTINGUISHER

/
HOSE / NOZZLE

CHECKED BY
DEPARTMEN ID
T
CHECKLIST/TAG CHECKLIST/TAG

PLACE
MONTH
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PRESSURE
SEAL / PIN
HOSE / NOZZLE
LOCATION /

CHECKED BY
ID

PLACE
MONTH

DATE
PRESSURE
SEAL / PIN
/

IN
HOSE / NOZZLE

CHECKED BY

DATE
PLACE
MONTH

JANUARY
PRESSURE
SEAL / PIN

IN
FEBRUARY
DATE

JANUARY
MARCH

IN
FEBRUARY
JANUARY APRIL
MARCH
FEBRUARY MAY
APRIL
MARCH JUNE
MAY
APRIL JULY
JUNE
MAY AUGUST
JULY
JUNE SEPTEMBER
AUGUST
JULY OCTOBER
SEPTEMBER
AUGUST NOVEMBER
OCTOBER
SEPTEMBER DECEMBER
NOVEMBER
OCTOBER
DECEMBER
NOVEMBER NOTE: Request for Service/Maintenance if any of
the checked items are marked X.
DECEMBER
NOTE: Request for Service/Maintenance if any of the
checked items are marked X.
USM-SYS-F77-Rev.1.2020.07.14

NOTE: Request for Service/Maintenance if any of the


checked items are marked X. USM-SYS-F77-Rev.1.2020.07.14

USM-SYS-F77-Rev.1.2020.07.14
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