Information
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Customer Name
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Conducted by
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Conducted on
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Vehicle mileage
VEHICLE DAMAGE
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Does the vehicle have any noticeable damage?
INSPECTION ITEMS
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Are their any warning lights on the dash?
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Which ones?
- check engine light,
- ABS Light,
- Airbag Light,
- Oil Light,
- Traction Control light,
- Other
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Codes
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Picture of light that is on
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Transmission fluid
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Brake fluid
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Power steering fluid
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Window washer fluid
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Cooling system
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CV Axles / Suspension / Steering
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Engine air filter
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Cabin air filter
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Windshield wipers and windshield
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Operation of horn, interior lights, exterior lamps, hazard and brake lights
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Oil leaks
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What items are leaking?
- Transmission,
- Oil pan,
- Valve cover,
- Rear differential,
- Transfer Case,
- Power steering,
- Other
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Exhaust system
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Drive belt
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Air conditioning and heating
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Battery and terminals
BRAKES
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Brake pads and/or shoes
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Front brake linings
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Rear brake linings
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Brake lines, master cylinder, basic operation
TIRES
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Are you replacing any tires today?
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Enter DOT number of each new tire
Tire
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DOT Number:
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Tires
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Front left tire
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Front right tire
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Left rear tire
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Right rear tire
OPTIONAL NOTES
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Optional notes:
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Optional pictures
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Technician initials
