Please enable JavaScript in your browser to complete this form.LayoutEmployee Name *BARNEY PatrickCOY AaronGILBERT HunterJANOVSKY ChuckKELCH JakeWILSON BruceTruck / Rig number *00848008490085000851008520085300854008550085600857008580085900860008610086200863008640086500866008670086800869008700087100872ODOMETER READING *Check off any problem area(s)Air CompressorAir LinesBatteryBelts and HosesBodyBrake AccessoriesBrakes, ParkingBrakes, ServiceClutchCoupling DevicesDefroster/HeaterDrive LineEngineExhaustFifth WheelFluid LevelsFrame and AssemblyFront AxleFuel TanksHornLights-Head/StopLights-Tail/DashLights-Turn IndicatorsLights-Clearance/MarkerMirrorsMufflerOil PressureRadiatorRear EndReflectorsSafety Equip-Fire ExtinguisherSafety Equip-Flags/Flares/FuseesSafety Equip-Reflective TrianglesSafety Equip-Spare Bulbs/FusesSafety Equip-Spare Seal BeamStarterSteeringSuspension SystemTire ChainsTiresTransmissionTrip RecorderWheels and RimsWindowsWindshield WipersOtherRemarksThe Condition of this Vehicle is *SatisfactoryNOT SatisfactoryAttach pictures if necessary (up to 3) Click or drag files to this area to upload. You can upload up to 3 files. Submit and Send