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| DOE-STD-3003-2000
DATA SHEET 1 (Continued)
Work Request No. ____________________
Battery No. __________________
CELL
ELECTROLYTE LEVEL
CELL
ELECTROLYTE LEVEL
No.
AS FOUND AS LEFT
No.
AS FOUND AS LEFT
-----------------------------------
-----------------------------------
1
___________ ___________
31
___________ ___________
2
___________ ___________
32
___________ ___________
3
___________ ___________
33
___________ ___________
4
___________ ___________
34
___________ ___________
5
___________ ___________
35
___________ ___________
6
___________ ___________
36
___________ ___________
7
___________ ___________
37
___________ ___________
8
___________ ___________
38
___________ ___________
9
___________ ___________
39
___________ ___________
10
___________ ___________
40
___________ ___________
11
___________ ___________
41
___________ ___________
12
___________ ___________
42
___________ ___________
13
___________ ___________
43
___________ ___________
14
___________ ___________
44
___________ ___________
15
___________ ___________
45
___________ ___________
16
___________ ___________
46
___________ ___________
17
___________ ___________
47
___________ ___________
18
___________ ___________
48
___________ ___________
19
___________ ___________
49
___________ ___________
20
___________ ___________
50
___________ ___________
21
___________ ___________
51
___________ ___________
22
___________ ___________
52
___________ ___________
23
___________ ___________
53
___________ ___________
24
___________ ___________
54
___________ ___________
25
___________ ___________
55
___________ ___________
26
___________ ___________
56
___________ ___________
27
___________ ___________
57
___________ ___________
28
___________ ___________
58
___________ ___________
29
___________ ___________
30
___________ ___________
Completed by ______________________________________________ Date____________
/
(signature)
(print name)
31
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