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MAINTENANCE REQUEST

No : Date :

Reported by : Dept :

Requested by : Room #/Location :

Problem :

Priority :
 High  Medium  Low
Assigned to : Time Spent (Hour/Min) :

Completed by : Date Completed :

Remarks

MAINTENANCE REQUEST
No : Date :

Reported by : Dept :

Requested by : Room #/Location :

Problem :

Priority :
 High  Medium  Low
Assigned to : Time Spent (Hour/Min) :

Completed by : Date Completed :

Remarks

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