Title Page
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Prepared by
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Tech Number
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Conducted on
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Location
- FORT MYERS
- GAINESVILLE
- JACKSONVILLE
- LAKELAND
- OCALA
- ORLANDO
- PORT SAINT LUCIE
- TALLAHASSE
- TAMPA
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Van Number
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Plate Number
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Vin Number
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Mileage
Fluid Levels
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Oil
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Transmission
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Coolant
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Brake
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Power Steering
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Wiper Fluid
Physical Condition
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Body (Note all Physical Damage)
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Explain damage to van
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Photo of Body. Only 1 required
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Windshield (Note Cracks)
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Explain damage to windshield
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Photo of windshield
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Interior (front/cab)
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Explain why cab is not clean
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Photo of clean cab
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Interior (rear/cargo)
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Explain why cargo is not clean
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Photo of clean cargo
Safety Items
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Headlights
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Blinkers (front and rear)
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Brake Lights
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Wiper Blades
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Fire Extinguisher
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Ladder Rack
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Ladder Cables/ Locks
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Ladders (must lubricate all joints weekly)
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Seat Belts
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Side Mirrors and Blink Spot Mirrors
Tire Pressure
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Measure front tire pressure. It must be within +/- 3Ibs of recommended pressure. DO NOT OVER INFLATE
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Measure rear tire pressure. It must be within +/- 3Ibs of recommended pressure. DO NOT OVER INFLATE
Tire Tread Depth
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Front Tires. Measure tread depth from outer, middle, and inner depth to determine wear. (Minimum 3/32 tread remaining)
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Rear Tires. Measure tread depth from outer, middle, and inner depth to determine wear. (Minimum 3/32 tread remaining)
Documentation
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Current Registration
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Insurance Card
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Gas Card
Action Required
Explain all "Not Acceptable" and include corrective action and expected completion date
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Explain issues or N/A
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I confirm that all this information is correct and valid.
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Send email to the Office Iauditor and the Warehouse IAs