Date
07/01/2026
Truck #
118
Truck - Make
Ford
Truck - Model
F250
Job Truck Used On
Saugany
Length of Time Truck Needed
Till my truck is fixed
Current Mileage of Truck
216759
Mileage of Last Oil Service: (Must Be Changed Every 5000 Miles)
216000
Oil Level
Satisfactory
Coolant Level
Satisfactory
Washer Fluid Level
Satisfactory
Tire Condition
Satisfactory
Proper Tire PSI
Satisfactory
Lights Working
Satisfactory
Windshield: Not Cracked or Chipped
Satisfactory
Fire Extinguisher: Secured
Satisfactory
First Aid Kit
Satisfactory
Inside Cleanliness
Satisfactory
Outside Cleanliness
Satisfactory
Your Name
Todd Collins
Signature
