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Snorkel International, LLC
2009 Roseport Road
Elwood, KS 66024
Model: Snorkel SR5719
Part Number: 159-0074-000
Version: Stage 5 / Open Cab
a.
IMPLEMENTED SCHEDULED MAINTENANCE COUPONS
Fill in the tables below after each scheduled maintenance operation. It is necessary to indicate:
in the "Type of intervention" section, which interval you are referring to, the date, the machine
hours (noted from the hour counter),
in the "executor" section, the name and surname of the assigned executor, name of the executing
company, address of the executing company, stamp of the executing company and signature of the
executor of the operations indicated in the maintenance schedule.
TYPE OF INTERVENTION
EXECUTOR
First intervention
500
1000
1500
2000
3000
Date _____ /_____ /______
Machine hours
First name______________________________________
Surname___________________________________
Company______________________________
Address____________________________________
Stamp______________________________________
Signature_______________________________________
Summary of Contents for SR5719
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