Information
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Document No.
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Client / Department
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Conducted on
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Prepared by
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Personnel
Engine Compartment
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Anti-Freeze
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Batteries
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Belts
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Oil
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Hoses
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Power Steering Fluid
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Window Washer Fluid
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Heater Fan
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Clutch Fluid
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Comments:
Driver Controls
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4-Way Flashers
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Head Lights
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Air Brake Preassure
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Back-Up Alarm
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Back-Up Lights
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Brake Lights
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Flashlights
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Fuel Level
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Rear Lights
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Siren
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Turn Signals
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Wipers
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Comments:
Cab (Passenger)
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Apparatus Radio
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Clipboard
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Haz-Mat Book
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Map Book
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Wind (Anemometer)
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Flash Lights
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Portable Radio
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Comments:
Compartment #1
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Cord Reel
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Outlet Boxes
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Rescue Axe
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Caution Tape
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Pick Head Axe
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Bolt Cutter
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Jaffery Valve (Manifold)
SCBA
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Pack Number
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Bottle Number
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PSI
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SCBA Mask (L)
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Comments:
Compartment #2
SCBA
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Pack Number
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Bottle Number
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PSI
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SCBA Mask (L)
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Tank Dump Extension
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Comments:
Rear Compartment #1
SCBA Tank
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Bottle Number
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PSI
SCBA Tank
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Bottle Number
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PSI
SCBA Tank
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Bottle Number
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PSI
SCBA Tank
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Bottle Number
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PSI
SCBA Tank
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Bottle Number
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PSI
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Comments:
SCBA Tank
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Bottle Number
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PSI
SCBA Tank
Rear Compartment #2
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4" Hydrant Hose - 50 FT
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1" Forestry Hose - 50 FT
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Water Bottle Tub
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Bucket & Chain
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Comments:
Compartment #3
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Generator (Run 5 Minutes)
Compartment #4
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2-1/2" Nozzle
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1-1/2" Nozzle
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1" Nozzle
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Hydrant Valve
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6" Jet Syphon
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2-1/2" x 2-1/2" Gated Wye
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2-1/2" x 1-1/2" Gate Wye
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4" x 2-1/2" Storz (30 Degree Bend)
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Dual 2-1/2" Porta-Tank Fill Appliance
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1-1/2" Caps (2)
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2-1/2" Cap
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2-1/2" x 1-1/2" Reducer
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4" x 2-1/2" Storz Reducer
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4" x 2-1/2" Reducer
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Double Female
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Double Male
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Cord Reel
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Red Flag Container
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2-1/2" Floating Strainer
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4" Floating Strainer
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Comments:
Front Bumper Compartment
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Rubber Mallet
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4" Storz
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6" x 4" Storz (30 Degree Bend)
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2-1/2" x 1-1/2" Reducer
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Power Steering Fluid
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Comments:
Exterior of Truck
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Hydrant Hose Wrench's
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Spanner Wrench Sets
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Portable Lights (2)
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ABC Extinguisher (2)
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4" Hard Suction w/ Strainer
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4" Hard Suction
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24 FT Ladder
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14 FT Roof Ladder
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Water Tank Level
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Pick Axes (2)
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Hose Clamp
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Pike Pole
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Hydrant Bag
Hose Loads
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Crosslay #1 - 200 FT Preconnect
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Crosslay #2 - 200 FT Preconnect
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2-1/2" Preconnect Hose Load
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4" Hydrant Hose Load
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Comments: