Information
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Personnel Assigned To Vehicle
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Prepared by
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Conducted on
1
CAB
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Portable Radios Qty 4
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Knox Box Keys
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Alarm Keys
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Subdivision Book
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ERG Book
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Pre-Plan Book
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County Map Book
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Clipboard
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EMS Gloves (XL, L, M)
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Helmet Shields Qty 4
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Passport Tag - RED
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Passport Tag - WHT
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SCBA Qty 3
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Safety Vests Qty 5
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Garage Door Opener
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Fuel Key
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Thermal Imaging Camera
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Hand Lights Qty 3
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Fuel Level (if below 3/4, please fill)
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Enter Mileage
2
EMS ROLL UP CABINET
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RIT Pack, 200' Rope w/ Carabiner, Cutters, Med Mask, 1hr Bottle, Quick Fill Hose, Webbing w/ Carabiner
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RIT Tarp (yellow)
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Portable Suction Unit
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Red Bag and Green Bag
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C-Collar Bag (6 Collars)
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Blanket
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Pro Splints (2 Arm, 1 Leg, 1 Elbow)
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AED (Change Battery)
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Gas Leak Box w/ Plug n' Dike
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4 Gas, Gas Track, Radiac Monitor
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Mustang Suit, 2 PFD's, Water Rope
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Case of Water
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Enter Drug Tag Number
3
DRIVERS SIDE
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Ground Plates Qty 2
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Wheel Chocks Qty 2
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Flood Light Qty 3
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SCBA Bottles Qty 4
CROSSLAYS
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1 3/4" X 200' w/ Smooth Bore
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1 3/4" X 200' w/ Fog
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2 1/2" X 200' w/ Smooth Bore
DRIVERS SIDE PUMP PANEL
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6' Halligan Hook
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Storz Wrenches Qty 2
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Spanner Wrenches Qty 2
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Hydrant Wrench
CABINET 1
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Bucket of Salt
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Scene Tape Qty 2
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Rope Hose Tool
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Spare Keys Qty 9
4
CABINET 2
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Mallet
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Storz Wrenches Qty 2
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2 1/2" Double Male
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2 1/2" Double Female
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Stackable Tips for Monitor Qty 4
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Hydrant Wrench
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2 1/2" X 1 1/2" Gated Wye
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2 1/2" Gate Valve
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2 1/2" Play Pipe
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2 1/2" Female X 5" Storz
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6" Female X 5" Storz
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4 1/2" Female X 5" Storz
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4" X 5" Storz
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1 1/2" Chiefs Fog Nozzle
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Foam Eductor
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Hurst Pump w/ Bottle of Oil
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25' Hydraulic Hose for Hurst Pump
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Large Ram and Small Ram
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Glass Master
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Traffic Cones Set
5
CABINET 3
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Air Bags w/ Plywood Qty 4
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Sawzall w/ Spare Blades
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Electrical Cord w/ Junction Box
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Electrical Junction Box w/ Pig Tail
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SCBA Qty 2
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Flares Qty 6
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Cord Adapters Qty 4
CABINET 4
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Ram Jammers Qty 2
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Box of Chains
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Air Hoses Qty 4
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Crow Bars Qty 2
CABINET 5
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4 X 4 Cribbing Qty 29
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Wedges Qty 9
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Step Chocks Qty 2
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Tool Box
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Air Bag Regulator, Cut Off Wheel, Air Chisel
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Impact Gun and Sockets
6
CABINET 6
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Bottle Jacks Qty 3
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Come-a-Long
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Chains Qty 4
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Ratchet Straps Qty 2
HYDRANT BAG
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Hydrant Wrench
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Spanner Wrenches Qty 2
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Storz Wrenches Qty 2
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Thread Adapter
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2 1/2" Gate Valve
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Rubber Mallet
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4 1/2" Female X 5" Storz
7
REAR ROLL UP CABINET 7
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35' Extension Ladder Qty 2
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20' Roof Ladder
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28' Extension Ladder
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15' Roof Ladder
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Attic Ladder
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6' Pike Pole Qty 2
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6' Haligan Hook
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12' Haligan Hook Qty 2
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8' Haligan Hook Qty 2
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8' Pike Pole
8
REAR HOSE BED
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500' X 2 1/2" w/ Play Pipe to 100' X 1 3/4" Hose w/ Chief Fog Nozzle
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650' X 5" LDH
CABINET 8
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Misc. Saw Tools (Bar Oil, Funnel, Duct Tape, 2 Pouches)
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Tarps Qty 2
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Rotary Saw
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Gas Can (Reg)
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Fuel Can (Mix)
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Smoke Ejector
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Rope Hose Tool
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Hotel Pack
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150' X 1 3/4" Hose w/ 2 1/2" X 1 1/2" Reducer, Smooth Bore, 2 Spanner Wrenches
9
PASSENGER SIDE
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Ground Plates Qty 2
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SCBA Bottles Qty 4
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Flood Light Qty 3
CABINET 9
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RASP Bag
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Forcible Entry Bag w/ Keys, Rabbit Tool, K-Tool, Mallet, Pry Bar
CABINET 10
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Pry Bar
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Haligan
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Irons (Haligan, Flat Head)
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Sledge Hammer
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Pick Head Axe
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Closet Hook
10
CABINET 11
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Pipe Wrench
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Cellar Nozzle
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Piercing Nozzle
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Spreader Bar
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Bolt Cutters
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Emulsifier
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Dry Chem Extinguisher
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CO2 Extinguisher
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Pressurized Water Can
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PPV Fan
CABINET 12
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Utility Rope
11
PASSENGER SIDE PUMP PANEL
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Storz Wrenches
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Spanner Wrenches
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5" X 50' LDH
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200' Electrical Cord Reel
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Junction Box
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6' Roof Hook
FRONT BUMPER
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Hurst Cutters
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Hurst Spreaders
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100' Hose Reel
AERIAL
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10' Pike Pole
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16' Roof Ladder
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Pick Head Axe
12
AERIAL BASE
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Pompier Belts Qty 4
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Step Chocks Qty 2
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Wood Cribbing
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5 Gallon Buckets AFFF Foam
SAW BOX
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Oil Dry
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Chain Saw (Run on Weekly)
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Rotary Saw (Run on Weekly)
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Spare Rotary Saw Blades
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Irons (Haligan, Flat Head Axe)
PASSENGER COFFIN BOX
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TRT Harness
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Skedco Rescue Tripod
STOKES BOX
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Tarps Qty 2
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Rescue Rope Bags Qty 2
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TRT Hardware Bag
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Stokes Basket
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Backboard
13
DRIVERS SIDE COFFIN BOX
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Box of Stakes
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Bag of Straps and Chains
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Rescue 42 Struts Qty 2
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High Lift Jacks Qty 2
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Broom
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Squeegee
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Flat Shovel
15
RUN POWER EQUIPMENT
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Generator
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Hurst Pump
LIGHTING
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Emergency Lights
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Driving Lights
MISC.
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Tire Pressure (120 psi)
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Siren
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Washed
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Clean Cab/Cabinets
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Any Damage to Vehicle?
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Please Describe in Detail and Notify Officer Immediately
16
PUMP CHECK
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Pump Shift
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Primer Test w/ Oil Check
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Relief Valve
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Excercised All Drains and Valves
WORK NEEDED
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List any Problems (Also Create W/O)
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Supplies Needed
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