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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Vehicle #:
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Tag #:
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Make:
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Model:
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Current Mileage:
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Fuel:
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Tire Tread
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Tire Pressure
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Tire Sidewalls
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Dents/Scratches/Damage
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Headlights
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Tail Lights
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Brake Lights
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Windows
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Mirrors
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First Aid Kit
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Protective Gloves
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Current Insurance Card
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Current Registration
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Current License Tag
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Up to date Insurance/Registration
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Fire Extinguisher
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Other
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Comments:
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Next Maintenance Date:
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Employee Signature:
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Supervisor Signature:
