Title Page
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Site conducted
- Chino
- Tyrone
- Morenci
- Safford
- Miami
- Sierrita
- Mission
- Tucson Shop
- Tucson Field
- AJO FEMC
- TCT FEMC
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Conducted on
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Prepared by
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Location
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Vehicle Type
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Vehicle number or last 4 digits of VIN
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Current Mileage
Vehicle Specifics
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Any vehicle damage?
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List damages
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Photograph damages
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Parking Brake Function
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Vehicle Insurance and Registration Current and Available
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Foot Pedal Brake Function
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Steering Function
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Are all of the vehicle's lights (headlights, taillights, turn signals) in proper working order?
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Vehicle Glass- cracks or chips?
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Vehicle Horn
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Wipers and Washer Fluid?
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Seatbelt and Seat Condition
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Vehicle Fluid Leaks
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Overall Tire Condition
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Vehicle Engine Lights / Warnings
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Is Vehicle Clean Inside and Outside?
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I understand as the operator that all safety critical items must be in safe working condition prior to putting the vehicle in motion.