Lyric discussion by scrimshaw 

more sources of my info:

"It's worth mentioning," says Kim. "That the song, 'Female Mechanic on Duty' was inspired by 'Bitch' by that famous Lilith-type female singer, Meredith Brooks. It's an answer song." "I have a particular dislike for that song," says Steve. (from sonicyouth.com/history/ographies/1000-lvs.html)

and:

"Not all of the album was recorded in Echo Canyon -- the second half of "Female Mechanic Now On Duty" actually comes straight from the "Sessions @ West 54th St." broadcast, with vocals overdubbed." (from sonicyouth.com/mustang/lp/lp14.html)

@scrimshaw What does Lilith refer to in this context? The biblical Lilith?

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