Title Page
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Customer
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Customer unit #
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Customer / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Chassis/New
- New
- Used
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Manufacturer
- spartain
- pierce
- American LaFrance
- HME
- E1
- Sutphen
- Smeal
- Rosenbauer
- Ferrara
- Western states
- H&W
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Mfg model
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Mfg model
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Mfg serial #
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Chassis make
- spartan
- pierce
- American LaFrance
- hme
- kme
- e1
- sutphen
- smeal
- ford
- chevy
- Dodge
- international
- kenworth
- peterbuilt fraitliner
- rosenbauer
- gmc
- Ferrara
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Mfg serial #
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Mfg year built
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Chassis model
- S/Gladiator
- S/Metro star
- S/Advantage
- S/Mountain star 4x4
- P/Arrow
- P/Contender
- P/Puc
- P/Inforcer
- P/Arrow XT
- P/Impel
- P/Velocity
- P/Saber
- F/350
- F/450
- F/550
- C/3500
- E1/Quest
- E1/Cyclone
- E1/Typhoon
- E1/Hs
- E1/Hush
- Hme/Cat
- Hme/Commfox
- Hme/Extreme Rat
- Hme/Rsvp
- Hme/Silver fox
- Hme/Wolf
- Hme/Rodent
- Hme/Penetrator
- Sutf/Monarch
- Int/4300
- Int/4300sba
- Int/4700
- Int/4900
- Int/2674 6x4
- Wrks/Terra star
- Wrks/Lone star
- Wrks/Pro star
- Wrks/Tran star
- Wrks/Pay star
- Wrks/Navistar
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Chassis Vin
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Chassis Vin
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Milage
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Engine Hours
Pump section
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Pump Make
- Darley
- Hale
- Waterous
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Pump model
- D/HM
- D/Emp
- D/Ldm
- D/Psd
- D/Psf
- D/Psfic
- D/Ksp
- D/Ksm
- D/Psp
- H/Fsd Ic
- H/Fsd 100
- H/Fsd125
- H/Fsd 150
- H/Qsf
- H/Q two
- H/Hfm
- H/UA75
- H/UA100
- H/UA125
- H/UA150
- H/Q flow
- H/Q max
- H/Qpac
- H/Qsm
- H/Qsmg
- H/Qsg
- H/Qsd
- W/Cs
- W/Csu
- W/Cm
- W/Cmu
- W/Cxvk
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Pump capacity
- 250
- 500
- 750
- 1000
- 1250
- 1500
- 2000
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Pump Serial#
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Pump serial#
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Pump Hr
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Pump Hr
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Pump location
- TM
- MS
- FM
- PTO
- RM
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Engine Make
- Detroit
- Cummins
- Ford
- Internarional/Navistar
- Chevrolet
- Cat
- Merc
- Dodge
- Other
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Engine ser #
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Engine ser #
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Date/Time
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Tech signiture
