Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Truck number:
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Date:
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Crew: Driver, Mover
Equipment
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Notes
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Orange safety cones
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Wheel chocks
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Stretch wrap
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How many moving pads are there?
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Door jamb Protector
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Box dolly (2)
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Four wheel dolly (2)
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Appliance dolly
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Are the pads folded and truck reset (See Picture inside truck)
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Trash Cleaned (Cab/Cargo Area)
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Are all the lights turned off (dome lights)
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Floor Runner