Title Page
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Unit #
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Conducted on
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Prepared by
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Personnel
Engines & Tires
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Master Switch Off / Truck Plugged In
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All Tires OK
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Tires Filled
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Engine Oil OK
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Oil Filled
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Run Motor for 15 minutes
In the Cab
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All Turn Lights & Signals OK
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Bulb(s) Changed - Specify which bulb(s)
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Fuel over 3/4 Full
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Fuel Filled
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Map Book in place
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Map Book replaced
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Traffic Advisor Lights are Functioning Properly
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Pump Shift Switch in "Road" Position
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Generator Switch OFF
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Siren Set on STANDBY
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Brakes & Horn working
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Federal Q2B Siren "Growls" (lights need to be on)
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Metal Clipboard with Fire Voucher pad & pencils inside
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Pad &/or Pencils replaced
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DAMA Key in key box, tagged with red ID tag
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Key replaced
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Keys in key box
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Keys replaced
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Flashlight working and in Charger
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Nitrile Gloves in place
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Gloves replaced
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Ear Plugs in place
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Ear Plugs replaced
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Accountability Board & 2 Velcro Tags in place
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Board/Tags replaced
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Spotlights on Dash working & stored properly
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Cell Phone in place and plugged in
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Cell Phone replaced/plugged in
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5 lb Dry Powder Fire Extinguisher in place
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Fire Extinguisher replaced
IN THE GLOVE BOX
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Binoculars in place
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Binoculars replaced
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Mirror for Chimney Fires in place
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Mirror replaced
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Duster Air Spray in place
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Duster Air Spray replaced
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Bug Spray in place
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Bug Spray replaced
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Extra Rubber Hose Gaskets for 2 1/2 inch & 1 3/4 inch Hoses in place
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Gaskets replaced
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Haz Mat Emergency Response Book in place
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Book replaced
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Duct Tape in place
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Duct Tape replaced
Rear of Cab
IF AIR TANKS ARE UNDER 1900 psi, TANKS MUST BE FILLED!
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SCBA 1 - Air pressure acceptable
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SCBA 1 - record psi
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Tank Filled
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SCBA 2 - Air pressure acceptable
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SCBA 2 - record psi
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Tank Filled
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SCBA 3 - Air pressure acceptable
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SCBA 3 - record psi
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Tank Filled
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SCBA 4 - Air Pressure acceptable
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SCBA 4 - record psi
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Tank Filled
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Flashlights (4) working and in chargers
UNDER FORWARD FACING JUMP SEATS
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DOT Warning Triangle & Flare Road Hazard Kit in place
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Triangle/Flares replaced
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Grass Fire Coats (2) in place
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Grass Fire Coats replaced
Center Cabinet (between rear facing jump seats)
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Gas Detectors (4) in place & charging (red light charged)
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Gas Detectors replaced/plugged into chargers
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Thermal Imaging Camera in charger & spare battery charging
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Camera & spare battery plugged into chargers
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Oxygen Detector in place
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Oxygen Detector replaced
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Duct Tape in place
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Duct Tape replaced
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LifePak AED in place & charged (power on to check battery)
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AED replaced/charged
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Orange Jump Bag (First Aid Kit) with Oxygen Tank in place
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Jump Bag replaced
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Paper Towels (1 box) in place
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Paper Towels replaced
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Nitrile Gloves (1 box) in place
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Nitrile Gloves replaced
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Blankets (2) in place
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Blankets replaced
Front Bumper
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1 1/2 inch to 1 inch Reducer in place
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Reducer replaced
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300 ft 1 inch Forestry Hose in place
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Forestry Hose replaced
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1 inch Nozzle in place
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Nozzle replaced
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1 1/2 inch Hose with Nozzle in place
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Hose with Nozzle replaced
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1 1/2 inch Chrome bumper discharge with Cap attached in place
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Discharge replaced
Left Side of Truck
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ELECTRIC POWER plugged in & Auto Charger indicator reads "Full"
Left Side Small Cab Compartment Behind Rear Door
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Indian Pump Bag in place
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Indian Pump Bag replaced
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RIT Pack in place
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RIT Pack replaced
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Record psi
Left Front Compartment
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Salvage Tarps (3) in place
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Tarp(s) replaced
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Rolls of Plastic (2) in place
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Roll(s) of Plastic replaced
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300 ft Red Preconnect 1 3/4 inch Cross lay with Nozzle in place
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Red Preconnect replaced
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300 ft Yellow Preconnect 1 3/4 inch Cross lay with Nozzle in place
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Yellow Preconnect replaced
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1 3/4 inch spare Combo Nozzle - Fog, Smooth Bore in place
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Nozzle replaced
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Honda EU 2000 Generator with Light in place
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Generator replaced
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Oil Checked
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Gas Full
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Generator Runs
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Pails of Foam (2) in place
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Pail(s) of Foam replaced
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Orange Flags (3) in place
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Orange Flag(s) replaced
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Traffic Cones (6) in place
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Traffic Cone(s) replaced
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Torch Kit in yellow case in place
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Torch Kit replaced
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Garbage Bags (1 roll) in place
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Garbage Bags replaced
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Fire Line Ribbon (2 rolls) in place
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Fire Line Ribbon replaced
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Snap-On, Non-Contact Temp Gun in place
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Temp Gun replaced
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9 Volt Batteries in place
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Batteries replaced
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Makita Electric Skill Saw in place
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Skill Saw replaced
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Bottled Water/Gatorade in place
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Water/Gatorade replaced
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Bottle of Windex for detecting Gas Leaks in place
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Windex replaced
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Bag of Foam Sticks in place
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Foam Sticks replaced
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Advantage 200Ls Cartridge Respirator & Cartridges (6) in place
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Respirator/Cartridges replaced
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Stuffed Animals (3) in place
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Stuffed Animals replaced
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Overhaul Gloves in place
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Gloves replaced
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Flashlight in place
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Flashlight replaced
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Toolbox with Misc. Small Tools in place
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Toolbox replaced
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Rags (2) in place
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Rags replaced
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Ear Plugs in place
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Ear Plugs replaced
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Portable Jaws Power Unit in place
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Unit replaced
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Oil Checked
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Gas Full
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Unit runs
Left Middle Compartment
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Extra Halogen Bulbs (box) in place
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Halogen Bulbs replaced
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Dual Halogen Lights with Stand in place
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Halogen Lights/Stand replaced
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Single Halogen Flood Light in place
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Flood Light replaced
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Extension Cord in place
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Extension Cord replaced
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Metal Pails (2) in place
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Metal Pails replaced
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60 ft of Rope in place
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Rope replaced
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Small Metal Shovels (2) in place
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Shovels replaced
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Chain in Pail in place
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Chain/Pail replaced
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Portable Jaws & Cutter in place
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Jaws/Cutter replaced
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Gas Can for Portable Tools in place & 3/4 Full
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Gas Can replaced/filled
Left Side of Truck Above Wheel
IF AIR TANKS ARE UNDER 1900 psi, TANKS MUST BE FILLED!!
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Spare SCBA Tank 1 - Air Pressure acceptable
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Spare SCBA Tank 1 psi
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Tank Filled
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Spare SCBA Tank 2 - Air Pressure acceptable
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Spare SCBA Tank 2 psi
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Tank Filled
Left Rear Compartment
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Metal Shovel in place
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Metal Shovel replaced
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Scoop Shovel in place
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Scoop Shovel replaced
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Gatorback Hook in place
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Gatorback Hook replaced
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20 lb Dry Powder Purple K Extinguisher in place
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Extinguisher replaced
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Stanley Multi Tool Kits (2) in place
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Took Kit(s) replaced
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Pick Head Axe in place
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Pick Head Axe replaced
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8 lb Sledge Hammer in place
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Sledge Hammer replaced
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42 oz Dead Blow Hammer in place
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Dead Blow Hammer replaced
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Crow Bars (2) in place
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Crow Bar(s) replaced
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Halligan Tools (3) in place
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Halligan Tools replaced
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Hydrant Wrench in place
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Hydrant Wrench replaced
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Hose Spanners (2) in place
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Hose Spanner(s) replaced
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Gas Pinch-off Tool in place
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Gas Pinch-off Tool replaced
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Angus Foam Master Nozzle in place
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Nozzle replaced
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Angus Foam Eductor with 2 1/2 inch to 1 1/2 inch Reducer in place
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Foam Eductor replaced
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Foam Pick-up Hose for Foam Inductor in place
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Hose replaced
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Hose Rollers (2) in place
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Hose Roller(s) replaced
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Wobble Work Light in place
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Work Light replaced
Rear of Truck
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All Discharges are Capped
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All Drain Valves Closed
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Main Pump Drain Close (handle pushed in)
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Electric Cord Reel End Stored Properly (end is inside of cubby hole)
LADDER COMPARTMENT
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25 ft Two-Section Extension Ladder in place
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Extension Ladder replaced
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14 ft Roof Ladder with Roof Hooks in place
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Roof Ladder replaced
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16 ft Folding Ladder in place
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Folding Ladder replaced
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Pike Poles (2) in place
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Pike Poles(s) replaced
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12 ft section of 6 inch Hard Suction Hose in place
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Suction Hose replaced
Top of Truck
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Hydraulic Fluid Level - sight glass above 1/2
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Hydraulic Fluid filled
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TFT Hurricane Master Stream Nozzle in place
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Nozzle replaced
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Plastic Teeth look good
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Nozzle looks good
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5 inch LDH Hose Properly Packed in Hose Bed
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Hose repacked/replaced
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2 1/2 inch Canvas Hoses (4) in place
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Canvas Hose(s) replaced
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2 1/2 inch Rubber Hose in bed properly packed
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Rubber Hose repacked
Right Rear Compartment
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Portable Radio with Headset in place & in charger
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Radio/Headset replaced/charged
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All Pump Valves in Closed Position - Red Indicator Light ON
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TFT WIRED Control Unit for Deck Gun in Holder
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WIRED Control Unit replaced
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TFT WIRELESS Control Unit for Deck Gun in Holder
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WIRELESS Control Unit replaced
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Command Light Control Unit for Light Tower in place
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Control Unit replaced
LOWER SHELF
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Akron Junction Box in Holder
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Junction Box replaced
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Safety Vest in place
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Safety Vest replaced
IN HYDRANT BAG
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4.5 inch to 5 inch Storz Hydrant Fitting in place
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Fitting replaced
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6 inch NST to 5 inch Storz Hydrant Adapter in place
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Adapter replaced
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Spanner Wrenches (2) in place
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Spanner Wrench(es) replaced
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Hydrant Wrench in place
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Hydrant Wrench replaced
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Rubber Hammer in place
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Rubber Hammer replaced
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2 1/2 inch to 1 1/2 inch Reducer in place
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Reducer replaced
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2 1/2 inch NST to Waterous Adapter in place
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Adapter replaced
PULL OUT DIVIDED TOOL TRAY
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Hydrant Wrenches (2) in place
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Hydrant Wrench(es) replaced
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Hose Spanners (2) in place
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Hose Spanner(s) replaced
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6 inch Low Level Suction Screen in place
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Suction Screen replaced
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2 1/2 inch Wye to 5 inch Storz Hydrant Fitting with 2 1/2 inch Hose attachments (2) in place
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Fitting/Attachments replaced
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2 1/2 inch Waterouse to NST Fittings (on wye) (2) in place
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Fitting(s) replaced
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20 ft of 5 inch LDH in place
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LDH replaced
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Storz Spanner Wrenches (2) in place
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Wrench(es) replaced
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Canvas Bag for Nozzles in place
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Canvas Bag replaced
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Basketball in place
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Basketball replaced
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Strap for moving LDH in place
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Strap replaced
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2 1/2 inch to 1 1/2 inch Gate Wye in place
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Gated Wye replaced
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2 1/2 inch NST Double Female Fittings (2) in place
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Fitting(s) replaced
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2 1/2 inch to 1 1/2 inch Reducers (2) in place
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Reducer(s) replaced
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6 inch 45 degree Elbow to 5 inch Storz Adapter in place
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Adapter replaced
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6 inch female to 5 inch male Dry Hydrant Adapter in place
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Adapter replaced
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6 inch 90 degree Elbow in place
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Elbow replaced
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6 inch male NST to 5 inch Storz Adapter in place
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Adapter replaced
Right Side of Truck Above Wheel
IF AIR TANKS ARE UNDER 1900 psi, TANKS MUST BE FILLED!!
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Spare SCBA Tank 1 - Air Pressure acceptable
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Spare SCBA Tank 1 psi
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Tank Filled
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Spare SCBA Tank 2 - Air Pressure acceptable
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Spare SCBA Tank 2 psi
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Tank Filled
Right Middle Compartment
FRONT OF TOOL BOARD
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Storz Spanner Wrenches (2) in place
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Spanner Wrench(es) replaced
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Pick Head Axe in place
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Pick Head Axe replaced
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Small Red-Handled BOLT Cutter in place
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Small Bolt Cutter replaced
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Large Red-Handled BOLT Cutter in place
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Large Bolt Cutter replaced
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Large Green-Handled WIRE Cutter in place
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Large Wire Cutter replaced
BACK OF TOOL BOARD
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1 1/2 inch Spare Nozzle with Pistol Grip in place
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Nozzle replaced
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2 1/2 inch Spare Nozzle with Pistol Grip in place
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Nozzle replaced
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Piercing Nozzle with Ball Valve Open in place
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Nozzle replaced
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2 1/2 inch Brass Basement Nozzle in place
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Nozzle replaced
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2 1/2 inch Water Curtain in place
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Water Curtain replaced
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30 lb Dry Powder Fire Extinguisher in place
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Extinguisher replaced
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2 1/2 inch Nozzles (2) in place
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Nozzle(s) replaced
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1 1/2 inch Spare Nozzle with Pistol Grip in place
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Nozzle replaced
Right Front Compartment
FRONT OF TOOL BOARD & TRAY
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Small Tool Box filled with Rubber Tie Downs in place
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Tool Box/Tie Downs replaced
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Household Outlet Adapters (2) in place
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Adapter(s) replaced
BACK OF TOOL BOARD IN TRAYS
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K12 Saw in place
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Saw replaced
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Gas Full
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Saw runs
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Chainsaw in place
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Chainsaw replaced
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Check Oil
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Gas Full
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Chainsaw runs
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Tempest Vent Master Rescue Saw in place
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Rescue Saw replaced
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Check Oil
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Gas Full
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Saw runs
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Bar Oil for Saw in place
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Oil replaced
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Extra Blades for K12 Saw in place
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Extra Blades replaced
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2 1/2 gallon Gas Can in place and 3/4 full - 50:1 Mixed Gas
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Gas Can replaced/filled
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Tempest ELECTRIC Positive Pressure Fan with Cord in place
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Fan replaced
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Ram Fan GAS Positive Pressure Fan in place
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Fan replaced
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Check Oil
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Gas Full
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Fan runs
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Electric Cord Reel in place
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Cord replaced
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Bucket of Oil-Dri in place
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Oil-Dri replaced
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Bottle of Bleach in place
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Bleach replaced
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Bucket of Salt in place
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Bucket of Salt replaced
Right Side Small Compartment Behind Rear Door
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40 lb CO2 Extinguisher in place
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CO2 Extinguisher replaced
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10 lb Dry Chem Extinguisher in place
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Dry Chem Extinguisher replaced
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5 gal Pressured Water Extinguisher in place
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Pressured Water Extinguisher replaced