XLS《配置维修申请表（正）》

"潍坊医学院消防设施器材配置维修申请表",,

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, "申请单位名称",,

,"经办人及联系方式",,

"申请配置申请维修",,

"",,

"注:配置维修申请后需进行现场核实情况.

" "消防设施器材情况(名称、存放位置、规格型号、产品身份信息、数量、厂家等)","器材名称","存放位置及编号","规格型号","生产厂家/生产日期","单位","数量","备注" ,,

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, "申请事由(包含损坏情况等) ,"申请人签字:年月日",,

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"所在部门、院(系)意见",,

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, ,"(盖章)",,

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,"签字:年月日",,

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"保卫处审核意见",,

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, ,"签字:年月日",,

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"备注",,

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