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Document# 4818802 <br /> Watts Equipment Co., Inc. <br /> P.O.Box 2570 <br /> Manteca,CA 95336 <br /> 209-825-1700 FAX:209-825-15 11 <br /> Customer#6940 Serial# Model <br /> Premier Finishing 9A181345 FC4510-40 <br /> 7910 Longe Street Unit# Model <br /> g U-2058 Crown <br /> Stockton,CA 95206 <br /> Electric <br /> Pass Fail Page 1 of 3 Pass Fail <br /> 01 SAFETY 02 OPERATIONAL CHECKS <br /> Ea ❑ a)Warning Devices(Horn,BU Alarm,Strobe) a)Fluid Leaks <br /> 0 [-] b)Overhead Guard 0 b)Seat Switch <br /> Ea [] c)Load Backrest c)Instruments/Gauges/Warning Lights <br /> Ea [:] d)Mast,Fork,or Chain Excessive Wear 0 d)Service Brakes-Firm Resistance <br /> e e)Tire Damage/Excessive Wear e)Parking Brakes-No Drive Though <br /> e f)Lights f)Directional Control Lever-SRO+Plugging <br /> e g)Brakes:Service or Parking ® ❑ g)Hydraulic Control Levers <br /> ❑ h)Seat,Seat Belt,Seat Switch,Hardware 0 h)Frame&Sheet Metal Damage <br /> [a E] i)Capacity Plate&Warning Decals 1)Steering Responsiveness <br /> 0 j)Fire Extinguisher(If Equipped) e ❑ j)Unusual Noise <br /> 0 k)Hood Latches e ❑ k)Mast&Carriage Operations <br /> e ❑ I)Attachment Operations <br /> 0 m)Base Arm&Load Wheels&Caster Wheels <br /> Page#3 of 5 <br />