C2.13 DEFICIENCIES To be completed by the primary individual who conducted the test and inspection. To be completed by the Building / Representative Date Work Order Name of Service Building Owner’s / Item Device Device CAN/ULC-S536-13 Deficiency Corrected or Provider Responsible Representative’s # Type Location Clause Reference (MM/DD/YY) Reference # for the Repair Signature Name of Service Date Work Order Building / Item CAN/ULC-S536-13 Provider Responsible Control Function or Feature Deficiency Corrected or Representative’s # Clause Reference for (MM/DD/YY) Reference # Signature The Repair
C2.13 DEFICIENCIES To be completed by the primary individual who conducted the test and inspection. To be completed by the Building / Representative Item # Device Type Device Location Deficiency CAN/ULC-S536-13 Clause Reference Date Corrected (MM/DD/YY) Work Order or Reference # Name of Service Provider Responsible for the Repair Building Owner’s / Representative’s Signature Item # Control Function or Feature Deficiency CAN/ULC-S536-13 Clause Reference Date Corrected (MM/DD/YY) Work Order or Reference # Name of Service Provider Responsible for The Repair Building / Representative’s Signature
BuildingAnnualTestReport.docx