Costa Auto Care & Tire

• Work Order #

• Conducted on

  Date

• Prepared By

  Select Olando Costa Michael Costa John Costa

  • Olando Costa
  • Michael Costa
  • John Costa

Customer / Vehicle Information

• Customer Name

• Vehicle Description

• Vehicle Photo

  Media

• Mileage

• License #

VEHICLE DAMAGE NOTED BEFORE WORK

• Does the vehicle have any noticeable damage?

  Yes

  No

• Photo of damage area prior to servicing.

  Media

Test Drive

• Engine Oil level Prior to test drive

  Select Good Below min mark Above max mark No oil seen on dipstick

  • Good
  • Below min mark
  • Above max mark
  • No oil seen on dipstick

• Test Drive Observations

Visual inspection Items

• Transmission Fluid Condition

  Ok

  Serv. Soon

  Replace Req.

• Transmission Fluid Level

  Low

  Good

  Overfilled

• Brake fluid

  Ok

  Serv. Soon

  Replace Req.

• % moisture content

• Power steering fluid

  Ok

  Serv. Soon

  Replace Req.

• Window washer fluid

  Topped off

  Was Full at time of inspection

  Needs Attention

• Cooling system

  Ok

  Serv. Soon

  Replace Req.

• Freeze Point Deg F*

• CV Axles

  Ok

  Serv. Soon

  Replace Req.

• Engine air filter

  Ok

  Serv. Soon

  Replace Req.

• Cabin air filter

  Ok

  Serv. Soon

  Replace Req.

• Windshield wipers and windshield

  Ok

  Serv. Soon

  Replace Req.

• Oil leaks

  Ok

  Serv. Soon

  Replace Req.

• Exhaust system

  Ok

  Serv. Soon

  Replace Req.

• Drive belt

  Ok

  Serv. Soon

  Replace Req.

• Air conditioning and heating & Defrost

  Ok

  Serv. Soon

  Replace Req.

• Battery and terminals & Condition

  Ok

  Serv. Soon

  Replace Req.

• Battery load test in Cold Cranking Amps

• Charging system Out Put V

• Cranking Volts

Operation of Horn, Interior lights, exterior lights, Auxiliary lights

• Horn

• Day Time Running Lights

• Head lights Hi & Low beam

• Marker Lights including Lic. plate

• Turn signals front and rear

• Brake lights including high mount

• Reverse Lights

• Auxiliary lighting including Fog Lights

• Detail any electrical defects found.

  Yes

  No

  N/A

• Detail any electrical problems found?

• Add media

  Media

BRAKES

• Any looseness felt in any tires before removal

• General brake operation during test drive

  soft pedal

  shakes while braking

  poor performance

  brake pedal skips down

• Front Brake Pad Lining

  Select 5mm ++. GOOD 3-5 mm. Ok < 2.5mm REPLACE

  • 5mm ++. GOOD
  • 3-5 mm. Ok
  • < 2.5mm REPLACE

• Front Brake Rotor Thickness

• Rear Brake Pad/shoe Lining

  Select 5mm ++. GOOD 3-5 mm. Ok < 2.5mm REPLACE

  • 5mm ++. GOOD
  • 3-5 mm. Ok
  • < 2.5mm REPLACE

• Rear Brake Rotor Thickness

• Visual Brake System Observations

TIRES

• Tires, General condition, correct size for the vehicle, sidewall cracking or impact damage.

  Ok

  Serv. Soon

  Replace Req.

• Tire pressure Front

• Tire pressure Rear

• Front left tire

  5mm ++. GOOD

  3-5 mm. Ok

  < 2.5mm REPLACE

• Front right tire

  5mm ++. GOOD

  3-5 mm. Ok

  < 2.5mm REPLACE

• Left rear tire

  5mm ++. GOOD

  3-5 mm. Ok

  < 2.5mm REPLACE

• Right rear tire

  5mm ++. GOOD

  3-5 mm. Ok

  < 2.5mm REPLACE

• Add media

  Media

Suspension System: visual inspection only

• Front Struts or Shocks

  Ok

  Small leak, noise, slightly excessive bounce, sag,

  Leak, Damage, inoperative

• Front Springs, Torsion Bars, etc.

  Ok

  Small leak, noise, slightly excessive bounce, sag,

  Leak, Damage, inoperative

• Rear Struts or Shocks

  Ok

  Small leak, noise, slightly excessive bounce, sag,

  Leak, Damage, inoperative

• Rear Coil Springs, Leafs, Air Suspension

  Ok

  Small leak, noise, slightly excessive bounce, sag,

  Leak, Damage, inoperative

• Add media

  Media

OPTIONAL NOTES

• Optional notes:

• Technician initials

  Sign

• Add media

  Media

• Was a Comprehensive Brake Inspection completed at this time?

  Yes

  No

  N/A

• Time Started

  Date

• Time Completed

  Date

• Technician

  Select Olando Costa Michael Costa John Costa

  • Olando Costa
  • Michael Costa
  • John Costa

Front Brakes Complete Inspection

• Brake Master Cylinder

  Ok

  Serv. Soon

  Replace Req.

• % moisture contamination

• Brake lines and Hoses

  Ok

  Serv. Soon

  Replace Req.

• General condition

  Ok

  Serv. Soon

  Replace Req.

• Add media

  Media

Front Brakes

• Front Friction Material

  75%-100%

  50%-75%

  20%-50%

  Req. Replace

• Front Rotors

  Ok

  Req. Machine

  Req. Replace

• Add media

  Media

Rear Brakes

• Rear Pads or Shoes

  75%-100%

  50%-75%

  20%-50%

  Req. Replace

• Rear Rotors or Drums

  Ok

  Req. Machine

  Req. Replace

• Park Brake Friction (if separate from Rear <br>Service Brakes)

  75%-100%

  50%-75%

  25%-50%

  **Needs replacement"

  Contaminated / Damaged

• Park Brake Operation / Adjustment

  Ok

  Serv. Soon

  Replace Req.

• Axle Seals where the have or may contaminate Friction Material

  Ok

  Serv. Soon

  Replace Req.

• Add media

  Media

• Ball joints

  Ok

  Serv. Soon

  Replace Req.

• Tie Rods

  Ok

  Serv. Soon

  Replace Req.

• Steering Rack or Gear

  Ok

  Serv. Soon

  Replace Req.

• Idler Arm / Pitman Arm (if equipped)

  Yes

  No

  N/A

• Other steering linkage

  Ok

  Serv. Soon

  Replace Req.

• Steering shaft

  Ok

  Serv. Soon

  Replace Req.

• Any visible alignment problems indicated by: handling, pull or drift, abnormal tire wear?

  Yes

  No

  N/A

• Details of problems if any

• Add media

  Media