Information
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Document No.
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Audit Title
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Client / 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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Date and Time audit began
VEHICLE DESCRIPTION
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Check for Drivers Alert Sticker on Rear of Unit
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PSE vehicle ID number
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USDOT Identification Number is visible
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check for current DOT inspection Sticker
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Odometer reading at Inspection
Repair Estimate Description
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Description of the problem
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Cost of repair, please list the Cost of labor & parts individually
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Photo of the problem
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Description of the problem
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Cost of repair, please list the Cost of labor & parts individually
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Photo of the problem
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Description of the problem
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Cost of repair, please list the Cost of labor & parts individually
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Photo of the problem
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Description of the problem
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Cost of repair, please list the Cost of labor & parts individually
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Photo of the problem
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Description of the problem
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Cost of repair, please list the Cost of labor & parts individually
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Photo of the problem
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Description of the problem
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Cost of repair, please list the Cost of labor & parts individually
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Photo of the problem
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Description of the problem
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Cost of repair, please list the Cost of labor & parts individually
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Photo of the problem
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Description of the problem
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Cost of repair, please list the Cost of labor & parts individually
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Photo of the problem
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Description of the problem
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Cost of repair, please list the Cost of labor & parts individually
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Photo of the problem
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Description of the problem
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Cost of repair, please list the Cost of labor & parts individually
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Photo of the problem
SIGNATURES
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Comments?
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Repairs Completed?
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All repairs not completed (please list)
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Business name & contact number
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Signature of Mechanic Performing Repairs