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UNIT #_________________________________________________
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DATE _________________________________
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MILEAGE ______________________________________________
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TERMINAL _________________________________
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COMPANY _____________________________________________
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MECHANIC _________________________________
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TRACTORS - 24,000 MILES * TRAILERS – 90 DAYS
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OK
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DEF.
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CAB
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OK
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DEF.
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ENGINE COMPARTMENT
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1
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GLASS, MIRRORS & MOUNTINGS
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41
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COOLANT LEVEL
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2
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CITY & AIR HORN
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42
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COOLANT LEAKS
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3
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WINDSHIELD WIPERS & WASHERS
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43
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COOLANT HOSES & CLAMPS
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*
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4
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MARKER, DASH & BACK-UP LIGHTS
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44
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COOLANT PROTECTION LEVEL________F
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*
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5
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STOP, TAIL & BACK-UP LIGHTS
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45
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RADIATOR, MOUNTS & SHROUDS
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*
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6
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TURN SIGNALS & 4-WAY FLASHERS
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46
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REPLACE COOLANT FILTERS
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7
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HEADLIGHTS (HIGH & LOW)
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47
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FAN & FAN CLUTCH
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8
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TRAILER LIGHT CORD
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48
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ALT. & MOUNTING BRACKETS
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9
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SEATS & SEAT BELTS
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49
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ALL BELTS (CONDITION)
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10
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BODY DAMAGE
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50
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FUEL LEAKS
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11
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LOW AIR & OIL WARNING BUZZERS
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51
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REPLACE FUEL FILTERS
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12
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GAUGES (OIL, TEMP, AIR, ETC.)
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52
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DRAIN & CLEAN FUEL/WATER SEPARATOR
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13
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HEATER & AIR CONDITIONER
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53
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AIR FILTER (REPLACE IF NEEDED)
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14
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CLUTCH FREE TRAVEL
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54
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ENGINE AIR INDUCTION SYSTEM
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15
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FIRE EXT. & REFLECTORS
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55
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ENGINE OIL LEAKS
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BATTERY
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56
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DRAIN & REPLACE ENGINE OIL
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16
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TERMINAL & CABLE CONDITION
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57
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REPLACE OIL FILTERS
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17
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BATTERY BOX & COVER
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58
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EXHAUST LEAKS, MUFFLER & PIPES
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18
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LOAD TEST
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*
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59
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FHWA INSPECTION
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AIR SYSTEM
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60
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RECORD PM INSPECTION
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*
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19
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AUDIBLE LEAKS
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TIRES & WHEELS
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*
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20
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DRAIN AIR TANKS
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*
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61
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TIRE CONDITION & MATCH
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*
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21
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AIR HOSES FOR CHAFFING
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*
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62
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AIR PRESSURE RECORDED BELOW
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*
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22
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TRAILER HOSES & GLAD HANDS
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*
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63
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TREAD DEPTH RECORDED BELOW
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23
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AIR GOV. CUTOUT @ 120 PSI/MIN
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*
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64
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AIR PRESSURE ADJUSTED-100LBS. PSI
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UNDERCARRIAGE & FRAME
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*
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65
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INSPECT WHEELS & LUGS
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24
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PWR. STEERING PUMP & BOX
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25
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PWR. STEERING HOSES & LINKAGE
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(#) RECORD AIR PRESSURE BEFORE ADJUSTMENT
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26
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PWR STEERING FLUID LEVEL
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#_________ #_________
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27
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OIL LEVEL IN FRONT HUBS, TRANS. & DIFF.
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*
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28
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WHEEL SEALS
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#__________
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32ND LBS 32ND LBS
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*
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29
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BRAKE LININGS & DRUMS
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*
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30
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CHECK/ADJUST BRAKES
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32ND LBS.
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#_________ #_________
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31
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KING PINS & TIE ROD ENDS
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32
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SHACKLES & BRACKETS
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32ND LBS 32ND LBS
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*
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33
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SPRING LEAVES & MOUNTINGS
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*
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34
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CHECK U-BOLTS & SADDLES
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#_________ #_________
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35
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DRIVE LINES & UNIVERSAL JOINTS
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*
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36
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CROSSMEMBERS
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#__________
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32ND LBS 32ND LBS
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37
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TRANS. & ENGINE MOUNTS
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38
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5TH WHEEL & MOUNTING BOLTS
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32ND LBS.
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#_________ #_________
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*
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39
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MUD FLAPS
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*
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40
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GREASE CHASSIS
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32ND LBS 32ND LBS
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THIS VEHICLE HAS BEEN INSPECTED AND REPAIRED AS NEEDED TO COMPLY WITH 49 CFR PART 396 APPENDIX G
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*
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INDICATES TRAILER INSPECTION ITEMS
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MECHANIC SIG. AFTER ADJUSTMENT _________________________
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SHOP MGR. SIGNATURE ____________________________________
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