Information
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Customer name
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Rental IN or OUT?
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Conducted on
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Prepared by
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Location
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Model
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VIN
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Hours
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ANY DAMAGE TO EXTERIOR PANELS OR PAINT?
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ANY DAMAGE TO LIGHTS?
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ANY DAMAGE TO JACK, TONGUE, OR BREAKAWAY SYSTEM?
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ANY DAMAGE TO TIRES?
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WHAT TOOLING IS WITH MACHINE?
- SUCTION HOSE 50'
- SUCTION HOSE 33'
- AIR KNIFE
- (1) SUCTION TOOL
- (2) SUCTION TOOLS
- (1) SUCTION TOOL HOLDER
- (2) SUCTION TOOL HOLDERS
- EMULSIFIER GUN
- PRESSURE WAND
- POT HOLER
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IS THE VAC TANK FULL?
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ANY DAMAGE TO THE WATER PUMP?
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IS THE MACHINE ANTIFREEZED?
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IS THE SITE GLASS ON THE BACK DOOR DAMAGED OR MISSING?
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IS THE AIR BREATHER MISSING?
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WHAT IS THE CURRENT FUEL LEVEL?
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DID THE CUSTOMER HAVE ANY ISSUES WITH THE VAC?
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CUSTOMER ACKNOWLEDGES ALL NOTED DAMAGE AND ASSUMES RESPONSIBILITY. CUSTOMER UNDERSTANDS THERE MAY BE FURTHER DAMAGE FOUND ONCE CHECKED OVER BY A TECHNICIAN AND THE SERVICE DEPARTMENT WILL CALL WITH AN ESTIMATE TO REPAIR DAMAGE. CUSTOMER AGREES TO PAY INVOICE THAT WILL FOLLOW ONCE DAMAGE IS REPAIRED.
