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["学生宿舍电动车违规使用专项检查统计表"]
["   宿舍楼：                   检查人员：                学院："]
["序号","房间号","蓄电池在宿舍存放或充电","电动车在宿舍楼内停放","违规人员签名","整改结果"]
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["备注：若发现宿舍存在存放电动自行车电池或者违规充电的，现场拍照，由检查人员当场收缴，填写此表，通知宿舍值班员开具违规电器整治单和代管违规电池。若无相关情况，不用填写检查表"]