Title Page
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Unit Number
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Personnel
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Conducted on
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Document No.
Under The Hood
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Air Filter
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Battery
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Belts, Fan and Wiring
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Break Fluid
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Fluid Leaks
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License Plate Valid
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Hose Condition
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Horn
Lights
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Code 1
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Code 2
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Code 3
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Headlights
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Tail
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Break
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Reverse with Alarm
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Marker/Running
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Signal
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Scene
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Cabinet (excluding Front Passenger)
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Mirror Condition
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Mileage
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Tire and Rim Condition
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Washer Fluid
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Windshield
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Wipers
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Door and Hood Latches
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Hitch in receiver
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Clean
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Service Needed
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Oil Change Due
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Code and/or Mechanical Light On
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Other, Please specify in comments
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Comments
Compartment Checklist
Driver Front
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100' Extension Chords x 2
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Scene Light
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Booster Cables
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CO2 Extinguisher
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Generator CPSP
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Ran and Fuel full
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Service Needed
Driver Middle
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Mark 3 Fuel (50:1 mix) w/ Fuel Line
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Chainsaw and Chainsaw kit (complete with Gloves, Hard Hat and visor, spare visor and chaps)
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CPSP#
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Service Needed and if applicable what service?
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K12
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CPSP#
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Service Needed and if applicable what service?
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1 Washer Fluid
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1L 10W30 Oil
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Drip Torch 50:50
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DEF (Summer) x 1
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5L mixed 24:1 Gas/ 2L bar oil Jerry
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20L Gasoline
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20L Diesel
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5 gal Class A Foam (Summer)
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Diesel Conditioner
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Quickstart
Driver Rear
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Tow Strap
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Ratchet Strap x 2
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Large Socket Set
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Small Socket Set
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Level
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Pipe Wrench
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Sledge Hammer
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Pulaski
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Fire Axe
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Flat Head Axe
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Halligan
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Bolt Cutters
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Spade w/ D Handle
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Boomers x 2
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Chain x 2
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Snipe
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Flagging Tape x 1 Roll
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Tuck Tape x 1 Roll
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Toolbox Checked
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Plyers x2
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Needle Nose
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Channel Lock x2
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Rubber Mallet
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Side Cutters
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Robertson x3, Phillips x3, Torx x2, Flathead x3
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Flat/Pry Bar
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Crowbar
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Sledge
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Wire Spool
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Bastard File
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Hacksaw w/ 2 extra Blades
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Tape Measure
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Allan Key Sets 1 metric 1 standard
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Vise Grip x2
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Crescent Wrench x2
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Chainsaw File
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Hatchet
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Tire Gauge
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Ratcheting Screwdriver w/ bit sets
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Nail Puller
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Magnetic Bowl
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Mark 3 Toolbox Checked
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Footvalve
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Checkvalve
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Ball valve 1"
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Wildland Fog Nozzle 38M Wildland x2
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Male Wildland Coupling x4
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Female Wildland Coupling x4
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Cap Wildland
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Econo-Wildland Coupling x2
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2"F to 1.5"M Coupling
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A-8 Sparkplug
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Spanner x2
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Earplugs x2
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Flathead
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10mm Wrench
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Crescent Wrench
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Claw Hammer
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EconoFlo Nozzle
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Flagging Tape
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Fuel Line
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Side Link Leaver
Passenger Front
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Name of personnel's gear if applicable
Passenger Middle
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SCBA Numbers, Checked by and what service had to be preformed
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SCBA Bottles x3 PSI (Below 4000PSI Replace)
Passenger Rear
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Backpack w/ Hand Pump Soft x4
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Submersible Pump w/ Hose Clamp and 1" Discharge Hose
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Foam Bucket Wrench
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Rip Cord Assembly For Wildfire Pump
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65mmF to two 38mmM Gated Wye
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Structure Nozzles 38mm NPSH x2
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Hydrant Key
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Hydrant Gate
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Smooth Bore Nozzle w/ pistol grip and bale
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Wildland Nozzle 38mm NPSH
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38mm NPSH to two Wildland Gated Wye
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Triangle Reflectors
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Flare Kit (Operational)
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100' 38mm Wildland Hose x5
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50' 38mm Structure Hose x2
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50' minimum 3/4" Econoflo Hose x3
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Mark 3 Pump Ran
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Did not start, needs service
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Personnel decided not to start pump
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Winter and tagged
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Lazy
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Lazy Bitch
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As per SGT orders
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CPSP or SK#
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2" discharge Hose
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2" Trash Pump Ran
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Did not start, needs service
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Personnel decided not to start pump
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Winter and tagged
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Lazy
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Lazy Bitch
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As per SGT orders
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CPSP or SK#
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2" Elbow (attached to trash pump)
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Block
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Spanner x2 (on door)
Box
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Ladder (mounted on passenger side roof and fastened)
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McLeod
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Rake
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2" Suction Hose (Footvalve attached to one) x2
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Pike Pole
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Spare Tire
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65mm Hose WCT
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Wildfire Pump
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Fuel
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Oil Level
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Choke Operation
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Throttle Operation
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Airfilter
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Panel Operation (all buttons and gauges operational)
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Primer Operation
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Valves, fittings and hoses
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Is it between April and Oct
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Reel
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1" Hose and Nozzle
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Water Full
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Pump working properly
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Winterized and tagged
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Service Needed
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Oil Change
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Mechanical/Electrical (Please specify in comments)
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Other (Please specify in comments)
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Comments
Cab
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Traffic Vest x2
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N95 Mask 1 box
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Bottle Jack w/ cribbing
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First Aid Kit
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Fire Ext
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Snow Brush
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Winter Front
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Nitrile Gloves
Additional Comments
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Additional Comments
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Signature