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Document # 4829997 <br /> Watts Equipment Co. , Inc. <br /> RO. Box 2570 <br /> Manteca , CA 95336 <br /> 209-825 - 1700 FAX* 209=8254511 <br /> Customer # 2672 Serial # Model <br /> Mizkan America , Inc . 8FGCU32-66044 8FGCU32 <br /> 1400 East Waterloo Road unit # Model <br /> TY-5118 Toyota <br /> Stockton , CA 95205 <br /> ENGINE <br /> Pass Fail Page 1 of 3 Pass Fail <br /> 01 SAFETY 02 OPERATIONAL CHECKS <br /> a ) Warning Devices (Horn BU Alarm ,Strobe) Q ❑ a) Fluid leaks <br /> 0 b ) Overheard Guard ❑ b) Neutral Starting Switch <br /> c) Load Backrest Ej c) Instruments/Gauges/Warning Lights <br /> 2 E] d ) Mast, Fork, or Chain Excessive Wear 0 ❑ d ) Service Brakes-Firm Resistance <br /> Iv'l e) Tire Damage/Excessive Wear e ) Parking Brakes- No Drive Through <br /> f) Lights f) Inching Pedal/Clutch-No Slipping <br /> 2 ❑ g ) Brakes : Service or Parking 0 ❑ g ) Directional Control Level <br /> ❑ ❑ h ) Seat, Seat Belt, Seat Switch , Hardware Q ❑ h ) Hydraulic Control Levers <br /> Q ❑ i ) Capacity Plate & Warning Decals ❑ Q i ) Frame & Sheet Metal Damage <br /> 2 ❑ j) Fire Extinguisher ( If Equipped ) 2 ❑ j ) Exhaust/Emissions <br /> Iv E] k) Hood Latches ❑ k) Steering Responsiveness <br /> 2 I] 1 ) LPG Brackets Q ❑ I) Unusual Noises <br /> 2 ❑ m) LPG Tank Date Code 0 ❑ m ) Mast & Carriage Operations <br /> 0 n ) Attachment Operations <br />