Title Page
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Customer / Cliente
- High Reach
- American Engineering & Development Corporation
- CT Leasing
- Sun City Produce
- Coraluzzo
- Maschmeyer
- FSR PCC
- Port Consolidated
- Home Depot
- Penske
- T Force
- UPS
- Publix
- Ozinga
- Cemex
- Carvana
- Tropic Oil
- Mini Mobile
- Structural
- Spec Building Materials
- Universal Enviromental Service
- Jacobus Energy
- Mohawk
- SAIA
- Saddle Creek
- Cowan
- Other
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Date / Fecha
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Technician number / Tecnico numero
- 795
- 813
- 225
- 774
- 755
- 819
- 854
- P & D
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Location
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Unit number / Vehiculo numero
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Unit mileage / Millas unidad
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Plate - Tag / Place
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PO number / Numero order - documento
Call info / Informacion de llamada
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Departure / Salida
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Arrive / Llegada
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Completion / FinalizaciĆ³n
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Return / Retorno
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Mileage departure / Millas salida
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Mileage return / Millas regreso
Service info / Informacion del servicio
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Wheel(s) position / Posiciones de rueda(s)
- LF
- RF
- LTA
- RTA
- LFO
- LFI
- LRO
- LRI
- RFO
- RFI
- RRO
- RRI
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Quantity / Cantidad
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
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Size / Dimension
- 235/75R17.5
- 295/75R22.5
- 11R22.5
- 11 R24.5
- 12 R22.5
- 12R24.5
- 255/70R22.5
- 245/70R19.5
- 215/75R17.5
- 385/65R22.5
- 425/65R22.5
- 445/65 R22.5
- 315/80 R22.5
- 275/80R22.5
- 285/75R24.5
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Brand / Marca
- Continental
- General
- Relentless
- Firestone
- Bridgestone
- Toyo
- Michelin
- Good Year
- Marangoni
- N/A
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Item - service / Producto - servicio
- Mount / Dismount
- Mount
- Dismount
- Wheel switch
- Tire repair
- Balance bag
- Spin balance
- Passenger / LT switch
- Service call
- AH service call
- Mileage
- Hourly labor
- Wheel clean
- Pump fluid IN / OUT
- TL 90 liquid
- Chloride
- Valve stem
- Tire disposal
- Shop supplies
- Gator cap
- Other / otros
Signature - name / Firma - nombre
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Customer name and signature
Photo record / Fotografias
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Photos / Fotografias