Title Page
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Conducted on
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Prepared by
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Location
SCBA Inspection
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Complete Bi-Weekly SCBA Inspection?
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Check All Gauges for Function (Must be within 100 psi)
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Check Low Pressure and Quarter Service Alarms for Function
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Check/Tighten All Hose Connections
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Ensure Regulators are Clean and Operational
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Ensure All Straps are Expanded to Largest Position
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Check Function of P.A.S.S. Device - Alarms within 15 sec of sitting still.
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Check Spare SCBA Cylinders are Equal or Greater than 4000psi
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Number of Spare SCBA Cylinders present?
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Are Any SCBAs Missing or Out of Service?
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List Location of Missing SCBA pack
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Are Any SCBA or Cylinders Damaged?
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Please list SCBA or Cylinders Number
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Please Provide a Photo of the Damage
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COMMENTS:
Cab of the Truck - Front - Officer's Seat
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(1) SCBA
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(1) VHF Handheld Radio - Set to RED channel
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(1) UHF 800mHz Handheld Radio
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(1) Portable Hand Light
- Working
- NOT Working
- Missing
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(1) Spotlight
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(1) HazMat ERG
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(1) Pre Incident Plan binder
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(1) St. Clair County Map Book
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(1) Pair of Binoculars
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(1) Seat Belt Cutter tool
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(1) Sensit P100 CO Monitor - YELLOW
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(1) ZOLL AED
Cab of Truck - Rear Seats
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(4) SCBAs
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(2) Space SCBA masks
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(3) VHF Handheld Radio - Set to RED channel
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(2) Portable Hand Lights
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(2) Portable Light Box - ORANGE
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Roadside Safety Vests - YELLOW
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Traffic Control Wand Lights
- Working
- NOT Working
- Missing
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(1) Cab Tilt Hand Crank - BLACK - Under Rear Forward Facing Seat
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(1) MSA Thermal Imaging Camera - OPERATE
Pump Panel - Driver Side
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(1) VHF Mobile Radio
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(2) Spanner Wrench - SMALL
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(1) Hydrant Wrench
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(2) 5" x 25' Fill Hose - YELLOW - (1) 4 1/2" Thread to 5" Storz attached
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(1) Intake Valve - Large Diameter STORZ
Hose Lines - Hand Lines
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1 3/4" x 200' Hand Line - RED - TFT Fog Nozzle
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1 3/4" x 200' Hand Line - ORANGE - TFT Fog Nozzle
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2 1/2" x 200' Hand Line - BLUE - TFT Smooth Bore Nozzle
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2 1/2" x 200' Hand Ling - YELLOW - TFT Fog Nozzle
Driver Side - Compartment 1
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(1) Socket Set - 153 Piece in Case - GRAY
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(1) Wrench Set - 32 Piece in Case - BLACK
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(1) Foam Aerator - TFT Nozzle Adapter
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(1) Monitor Base - Master Stream - RED
Hydrant Bag
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(1) 4 1/2" Thread to 5" Storz
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(1) 2 1/2" Thread to 5" Storz
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(1) Hydrant Wrench
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(2) Spanner Wrench - SMALL
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(2) Spanner Wrench - LARGE
Tool Chest - 6 Drawer - BLACK
Drawer 1 - TOP
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(1) Hacksaw with spare blades
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(1) Keyhole Saw with spare blades
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(2) Safety Glasses - Pair
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(1) Medical Shears
Drawer 2
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Screw Drivers - 18 Piece Set
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Allen Wrench - Metric and Standard Set
Drawer 3
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(1) Tin Snips
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(1) Linemen's Pliers
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(1) 7" Diagonal Pliers/Snips
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(1) 8" Channel Lock Pliers
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(3) Wise Grip Locking Pliers
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(1) 10" Channel Lock Pliers
Drawer 4
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(1) Claw Hammer
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(1) 18" Pipe Wrench
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(1) 8" Crescent Wrench
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(1) 12" Crescent Wrench
Drawer 5
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(1) Clevis
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(1) Seat Belt Cutter with Window Punch
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(1) Set of Wrenches - SMALL
Drawer 6
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(1) Bottle Jack
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(1) Hand Soap
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(1) Paper Towel - Roll
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(1) Toilet Paper - Roll
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(3) Shop Towels
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(1) WD-40 - Spray Can
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(1) Caution Tape - Roll
Rear of Compartment
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(1) Bolt Cutter
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(1) Spine Board - Wood - SMALL
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(1) Pry Bar - 52" - BLACK
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Light Tower - Night Scan - OPERATE
Slide-Out Tool Board - Front
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(4) Spanner Wrench - SUPER Spanner
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(1) Glass Cutter with Window Punch
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(1) Halligan Tool - 30"
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(1) Wye - 2 1/2" to 1 1/2" - RED
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(1) Jet Syphon - 6"
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(1) 4" Storz to 5" Storz - Adaptor
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(2) 2 1/2" Female Thread to 5" Storz
Slide-Out Tool Board - Rear
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(1) Pike Pole - D Handle
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(1) Axe - Flat Head
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(1) Axe - Pick Head
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(1) Sledge Hammer
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(1) Crash Axe
Driver Side - Compartment 2 - Technical Rescue
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(3) Vertical Rescue Ropes - In Bag - ORANGE/YELLOW/BLUE
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(1) Throw Rope Bag - Polypropylene Rope - YELLOW
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(1) Utility Rope - Nylon Rope - 100' - WHITE
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(1) Rescue Noodle - PINK
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(3) Rescuer Gear Bag - Water/Vertical Rescue - RED
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(3) Spare Rescue Gloves - (2) XL (1) Lg
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(1) Hardware Bag - Tech Rescue - BLACK
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(1) Software Bag - Tech Rescue - BLACK
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(1) Edge Protection - In Bag - BLACK
Driver Side - Compartment 3
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(1) Rubber Mallet
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(3) 2 1/2" Thread Double Female
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(2) 2 1/2" Thread Double Male
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(1) "High Rise" Hose Pack - 1 3/4" x 100' - BROWN (1) TFT Fog Nozzle
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(1) Rescue Jack Set - RED
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Stack Tips - Smooth Bore - Master Stream
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(1) 2 1/2" Play Pipe Nozzle - Elkhart
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(1) Low Level Strainer - 6"
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(2) Molded Cribbing Step Chalk
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(3) Cribbing Pack - GREEN
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(1) Foam Inductor
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(4) Oil Dry - 2 Gallon Jug
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(1) Circular Rescue Saw - OPERATE
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(1) Extinguisher - ABC - 20lbs
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(1) Extinguisher - Water - CHECK PRESSURE
Rear Compartment
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(2) Hydraulic Hose Sections - 100' - BLUE/RED
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(1) Salvage Tarp - Nylon - BLUE
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(1) TNT Ram - OPERATE
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(1) TNT Spreader - OPERATE
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(1) TNT Cutter - OPERATE
Rear of Truck
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(1) Quartz Lights - Portable on Stand - OPERATE
Top of Truck - Hose Bed
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5" x 1000' Supply Line - YELLOW
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2 1/2" x 200' Hand Line - Dead Lay - YELLOW
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Attic Ladder - 10' - Folded
Top of Truck - Driver Side - Hatch Compartment
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(1) Fan - Smoke Ejector - OPERATE
- Working
- NOT Working
- Missing
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Stokes Basket
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(1) Spine Board - LARGE Plastic
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(5) Foam - AFFF - Pale
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(6) Personal Flotation Device - Life Jacket - ORANGE
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(6) Salvage Tarp - BLUE
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(12) Traffic Cones - ORANGE
Top of Truck - Passenger Side - Hatch Compartment
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(2) Hard Suction Hose - 6" x 10' - PVC
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(1) Barrel Strainer - 6"
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(2) Broom with Detachable Handle
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(2) Scoop Shovel
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(1) Spade Shovel
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(1) Tile Spade Shovel
Ladder Compartment - Rear of Truck
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(1) Ladder - 12' - Roof Ladder
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(1) Ladder - 28' - Extension Ladder
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(1) Pike Pole - 6'
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(1) Pike Pole - 8'
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(1) Pike Pole - 10'
Passenger Side - Above Pump Panel
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(1) Deck Gun - Master Stream - Pre-Piped
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(1) Booster Reel w/ TFT Nozzle - 1/2" x 150' - RED
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(1) Nylon Hose sections - 2 1/2" x 50' - Doughnut Roll - BLUE
Passenger Side - Bulk Head
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(1) Quartz Lights - Fixed - OPERATE
Passenger Side - Compartment 1
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(1) Electric Cord Reel - 200' - YELLOW
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(1) Electrical Junction Box
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(1) Electric Cord - 75' - ORANGE Reel
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(1) Electric Cord - 50' - ORANGE Reel
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(1) Sawzall and Accessories - Dewalt - OPERATE
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(1) Winch - Portable with Receiver Mount
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(2) Chain Section in Bag - 3/8" x 15' - BLACK
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(1) Tow Strap - 20' - YELLOW
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(1) Air Hose - 1/2" x 150' - Reel - RED
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(1) Air Hose - 1/2" x 35' - Loop
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(1) Air Hose - 1/2" x 15' - Jumper from Truck to Reel
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(2) Air Chisel & Accessories - In GRAY case - OPERATE
- Working
- NOT Working
- Missing
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(3) Air Bag - BLACK
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(1) Air Bag Control Module - OPERATE
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(1) Rubber Mat - Air Bag Protection - BLACK
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(1) Jumper Cables
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(1) Refrigerator - CHECK CONTENTS
Passenger Side - Compartment 2
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(1) SCBA - Spare in Case - BLACK
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(5) Landing Zone Lights - In Bag - OPERATE
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(2) EMS Jump Bag - BLUE
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(1) Latex Gloves - Box - Large
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(1) Trash Bags - Roll
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(3) Rescue Blanket
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(1) Salvage Tarp - GREEN Canvas
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(3) Salvage Tarps - vinyl
Passenger Side - Compartment 3
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(1) TNT Simo Pump - Diesel Pump - OPERATE
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(1) TNT Bantam Pump - OPERATE
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(3) Hydraulic Hose - 30' Sections - RED/BLUE/YELLOW
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(3) Cribbing Pack - GREEN
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(2) Lubricating Solution - Squeeze Bottle
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(1) Gasoline - Tru-Fuel - Gallon
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(1) Vent Saw - Stihl - OPERATE
Vent Saw Accessory Crate
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(1) Vent Saw Wrench
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(1) Spare Chain - Vent Saw
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(1) Bar Oil - Gallon Jug
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(1) Gas/Oil - 50:1 Mix - Quart
Vehicle Engine/Pump Operating
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Drain Jockey Pump - Under Rear, Forward Facing Seat
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Engine Oil Level:
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Engine Oil Pressure - IDLE:
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Engine Oil Pressure - 1000 RPMs:
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Engine RPMs - IDLE
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Tank Water Level:
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Pump Primer - OPERATE
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Pump - OPERATE
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Foam System - Cycle Inductor/Flush Switch
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Night Scan Light Tower - OPERATE
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Quartz Lights - Fixed - OPERATE
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Warning Lights/Sirens - OPERATE
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Tire Pressure - Front 130psi / Rear 120psi
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Transmission Fluid Level:
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Power Steering Fluid Level:
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Check Brakes
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Drive the Vehicle
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Fuel Level at completion of Equipment Check:
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COMMENTS:
Signatures of Inspectors:
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Firefighter Signature
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Firefighter Signature
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Firefighter Signature
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Firefighter Signature
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Officer Sign-Off Signature
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Email Completed Form to: NAFD62264@gmail.com
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