Zip's Truck Equipment 316 W. Milwaukee Street New Hampton, Iowa 50659 Phone: 641-394-3166 Fax: 641-394-4044 Visual Inspection Page: 1 of 8 Customer: Division: null Address: Phone: Serial : Reference #: 1GBJ6H1C92J508639 Equipment Type: Car Carrier Order #: Event Performed: Result: Inspected By: Car Carrier Inspection Pass Michigan Inspector Shop Inspected On: Total Score: 11/04/15 12:33 PM CST : Extra notes: Radio does not work Wires coming from engine bay to drivers door jam just hanging there, dead wires Truck only has one j chain Car Carrier- * Year: 2002 * Make: Chevrolet * Model: C6500 * Engine Make: CAT * Engine Model: 3126E * Horse Power: 330 * Fuel Type: Diesel * Transmission Type: Manual * Transmission Brand: Aisin * Transmission Model: 6 Speed * Odometer Reading: 173134 * GVW: 25,600# * GAWR - Front: 8,100# * GAWR Rear: 17,500# Rear Vision Camera System/Brand: Remote Keyless Entry: * Cab to : 144" * Wheel-Base: 215" Wheel Type: Steel * Cab Color ONLY: Black * Body Make: Kilar * Body Length: 21' * Body Model: Steel * Body Serial Number: K030102 Body Width: 96" * Beacon/Lightbar Make: Directional Lightbar/Brand: Work Lights In Lightbar: Federal Signal * Side Puller Make: PTO Type: Switch Panel & # Of Switches: Throttle: * Bed/Side Puller/Pylon Color ONLY: Manual Shift In Dash - 4 Black * Brake Type: Hydraulic * Suspension Type: Spring * Air Compressor-FOR Brake System: Engine Brake: Air Dryer: * Air ing: * Radio: AM/FM Navigation System/Brand: * Driver Seat: Cloth Bench Windows: Power vember 06, 2015 03:11 PM
Page: 2 of 8 Serial : Door Locks: Power Window Deflectors: Rear Sliding Window: Cruise Control: Tilt Steering Wheel: Air Horn: Flooring: Rubber or Vinyl Floor Mats: Bug Shield: Sunvisor: * Bumper: Chrome Grille: Painted Front Tow Hooks: 2 Engine Block Heater: Extra Lights on CAB/Where: Jumper Cable Plug/Where: Jumper Cable: Running Boards/Nerf Bars: Mirrors: Stainless Steel Swing Out Additional Mirrors: Spot Mirrors-8" Spot Light: ne Fuel Tank/Where: 2 Steel - RH & LH Sides Vertical Exhaust Stack: Cab Roof Marker Lights: Tread Type Rear: Mud & Snow * Tire Size-Front: 245/70R19.5 Tire Depth-Front: 15/32 * Tire Size-Rear : 245/70R19.5 Tire Depth-Rear : 18/32 Top Hat Kit: Lug Nut Covers: Sub-Frame Finish: Painted Dump Angle: rmal Dock Stabilizer: Side Rails: Steel Removable Rub-Rails: # of Winches: 1 Winch Brand: Tulsa Winch Capacity: 8,000# Worm Type Winch Clutch Release: Mechanical Winch Work Lights: Cable Tensioner: Cable Roller Guide: Remote Control: Pylon/Cab Guard: Stop/Turn/Tail On Pylon: Extra Lights on BED/Where: Crossmembers (Steel beds only): Bed Mounted D-Rings & #: Stake Pockets & #: Key Slots & #: Bed Floor Type: Toolbox System/Where: Open Top Storage & Size: Dri-Dek In Toolboxes: Air Hose Reel/Mounted Where: Auxiliary Air Compressor: Snatch Blocks: Standard Steel 8" Spacing NA NA 6 Key Slots Steel 1-48" Steel - LH Side ne V-Chain/V-Strap Assemblies: J-Chains & #: Straps/Rachets: Fire Extinguisher: Warning Triangle Kit: Tow Light System: Dual Controls: Front/Rear Safety Chains: Light Plug Ins: Hook Up Lights: * Wheel Lift/Wheel Lift Arms: Wheel Lift Style: Live Air Hook Up/Where: Gas Cans/Holders/Where: Trash Cans/Holders/Where: Self Loading Dollies: Go-Jaks: Trailer Hitch: Special Equipment Storage/Where: 1-J-Chain Both CR6 with L-Arms Basic L-Arm Style Inspector Name Enter name here Jeff vember 06, 2015 03:11 PM
Page: 3 of 8 Serial : Engine Check Ability to Start Engine Blow-By Check Engine Starts rmally ticeable Blow-By Issue Oil leak observed (see ) -Minimal oil leak at front of engine near power steering pump drive mechanism Cab Exterior Engine ise Engine Warning Lights Engine Water Leaks Performance Engine Mounts Engine sounds are normal Check Engine Lights are on Water Leaks Performs rmally Other Engine tes Engine Brake Batteries of Cables of Batteries Load Test Pass Cooling System Radiator Fan Fan Clutch Fan Shroud Water Hoses Fan Belt Other Cooling tes Automatic Transmission Check Transmission Operation Other Transmission tes In Good Conditon Left Fender Grille Back of Cab Driver Side Door Dented or Cracked Good Good -Rub mark in paint and dent in door from hitting fender Manual Transmission Check Shifting Clutch Operation Throw-Out Bearing Transmission ise Other Transmission tes Shifts rmally rmally rmally normally Overall Body Overall Other Overall Body notes Good Cab Exterior Hood Right Fender Good Dented or Cracked Passenger Side Door Roof Other Cab Exterior tes Fuel Tank Appearance Entry Steps Head-Light Doors Battery Box Driver Side Door Hinges Good Good Worn - Useable Passenger Side Door Hinges Front Bumper vember 06, 2015 03:11 PM
Page: 4 of 8 Serial : Front Bumper Factory Front Bumper In Poor Condtion -Bumper is bent, rusted, and torn Interior Door Seals Floor Mats Seat Belts Missing or In Need of Replacement In Poor -Drivers side seat belt is fraying and the lower retraction mechanism does not work Front Push Bumper Glass Windshield Driver Side Window Passenger Side Windw Back Window Other Glass tes Overall Interior Overall Other Overall Interior tes Small Rock Chip Good Good Pitted Good -Small pitting in the rear window. Windshield Wipers Wiper Arms Wiper Blades Washer Tank Washer Control Switch In Need of Repair -Need to be replaced Heating Heater Controls Fan Motor Heater Other Heat tes Excellent Heats Appropriately Air ing Overall Air ing Controls Electrical System- Chassis Interior lights Turn Signals Inoperative - Unknown Reason All Interior Light Operate -Front turn signal housings are different Operate rmally Interior Drivers Seat Needs Repair Head Lights Alternator Guages Dash Lights Cab Marker Lights Back-Up Lights Head-Light Bulb Problem Performs rmally Bad Gauges (see ) Dash Lights Perform rmally Marker Lights Perform rmally Bank-Up Lights Inoperative -Dash indicates high beams but bulbs are not on may be bad bulbs -The rpm and temp gauges do not operate Back-Up Alarm 4-Way Flashers Windshield Wipers Doesn't Operate Performs rmally Perform rmally -Truck not equipped with back up alarm Passenger Seat Rear Seat Floor Mat Instrument Cluster Dash Door Panels Electric Door Locks Other Interior tes Electric Windows Door Handles Air Vents Headliner Other Interior tes Good Good Good -Is in good cosmetic condition but the rpm gauge and temp gauge do not read -The radio does not work Inoperative Operate Properly -Electric door looks inop -Could use a good cleaning Other Electrical System tes Cruise Control Engine Throttle N/A N/A Drive-Line U-Joints Rear Differential Transfer Case Other Drive-Line tes Hanger Bearings In good condition Needs to be Replaced Brakes Air Compressor System Air Leaks Air Dryer Applied Brakes Brake Adjusters Air Lines Brake apply normally -Second hanger bearing needs to be replaced vember 06, 2015 03:11 PM
Page: 5 of 8 Serial : Brakes Low Air Pressure Warning Front Brake Drums Front Drive Brake Drums Front Brake Calipers Front Brake Linings Pusher Brake Drums Pusher Brake Linings Front Drive Brake Linings Rear Drive Brake Drums Rear Brake Calipers Rear Drive Brake Linings Emergency Brake ABS Light Brake Pedal Pads Other Brake tes - from On Truck Inspection 80% or Better - on truck visual 80% or Better Performs rmally Showing rmal (t on) Shock Absorbers Front Shocks Rear Front Shocks Needs Replacement Needs Replacement Wheels Front Rims/Wheels Pusher Rims/Wheels Front Drive Rims/Wheels Front Drive Nuts and Studs (2) (2) Rear Drive Rims/Wheels Fronts Nut and Studs Pusher Nut and Studs Wheel In Good Wheel In Good Rear Drive Nuts and Studs Wheel Simulators Front Wheel Simulators Pusher Wheel Simulators Front Drive Wheel Simulators Rear Drive Aluminum Wheels Front Aluminum Wheels Pusher Aluminum Wheels Front Drive Aluminum Wheels Rear Drive Wheel Hubs Front Wheel Seals Pusher Wheel Seals Leaking -Both front wheel seals are leaking Wheel Hubs Front Wheel Bearings Front Drive Wheel Bearings Pusher Wheel Bearings Rear Drive Wheel Bearings Checked In Good t Adjusted but Issue Visible Tires Front Pusher Front Drive Rear Drive tes on Tires In Excellent 75% tread or Better In Excellent 75% tread or Better Exhaust Systen Manifold Exhaust Tubing Muffler DPF System Emnsions Warning Light Exhaust Shield Exhaust Stack Exhaust Mounting Bracket In Good Conditon In Good Condtiion Frame Integrity of Frame In good Suspension Air Bags Air Leaks Air Lines Spring Packs Front Spring Hangars Rear Spring Hangars Radius Arms Rear Suspension Bushings Air Leveling Valve Steering and Front Steering Pump Steering Lines Steering Sector King Pins/Ball Joints Steering Shaft Pitman Arm Drag Link Tie Rod rmally In Good Operating Leaks Oil -Oil leak from side of gear box Front Drive Wheel Seals Rear Drive Wheel Seals Oil Filled Hubs Front Toe in Check 4x4 Hubs Steering Wheel In Tolerance Steering Wheel in Good Cosmetic Oil Filled Hubs Pusher Steering Wheel Position Oil Filled Hubs Front Drive Oil Filled Hubs Rear Drive Fuel System Fuel Gauge Works rmally vember 06, 2015 03:11 PM
Page: 6 of 8 Serial : Fuel System Fuel Tank Fuel Fill Fuel Lines Fuel Filter Glow Plugs or Exhaust Heater Glow Plug Operation Intake Manifold Heater Fills rmally t Replaced Cycle rmally -Filter looks newer Fluids Windshield Washer Engine Oil Radiator Anti-Freeze Transmission Fluid Transfer Case Oil Front Drive Rear Drive Battery Acid Levels Hydraulic Oil Brake Fluid Power Steering Fluid Winch 1 Oil Winch 2 Oil Winch 3 (Above Cab) Oil Full Full Full and Tested to 20 Below Full Full At Proper Level At Proper Level At Proper Level Filled to Prope Level Filters Water Filter Engine Oil Filter Transmission Oil Filter Fuel Filter Carrier Hydraulic System Engine Air Filter Original (t replaced) Original (t replaced) Original (t replaced) t Changed Inspected in Good -Looks newer -Looks newer -Looks newer -Needs to be replaced Carrier Deck Steel Deck Aluminum Deck Side-rails Steel Deck Side-rails Steel Deck Side-rails Paint Aluminum Tail Section Rear Rollers Re-movable Side Rails Steel Re-movable Side Rails Aluminum Anti-Tilt Protection System -t much paint left on deck Minor Scratches or Marks In Good Conditon In Fair Power Take-Off Operation PTO Warning Light Shifting Mechanism Air Leaks rmally Does t Have a PTO Warning Light Shifting Cable In Good Operating Hyraulic Pump Operation Pump Pressure Pump Flow Pump rmally Tested to 2200# t Tested Control Valve Operation Control Levers and Rods Control Box rmally In Excellent Bent or Damaged -Drivers side control hood needs to be welded back up Both hoods are bent Chassis Lubrication Points King Pins/Ball Joints Tie-Rods Ends Steering Shaft Bearing Drag Link Clutch Linkage Throw-Out Bearing Drive-Line U-Joints S-Cam Shafts Slack Adjusters Spring Hangars Door Locks and Hinges Overall Car Carrier Overall Condtion Lubricated Good Carrier Deck Aluminum Deck Condtion Knobs Control Decals Hydraulic System Hoses Hydraulic System Leaks Winch Hoses Lift Cylinder Hoses Extension Cylinder Hoses Wheel-Lift Tilt Cylinder Hoses Wheel-Lift Extend Cylinder Hoses (2) Hydraulic Pump Hoses In Excellent Faded or Worn In Operating -Both faded nearly visible vember 06, 2015 03:11 PM
Page: 7 of 8 Serial : Hydraulic System Leaks Hydraulic Filter Bed Lift Cylinders Extend Cylinder Wheel-Lift Tilt Cylinder Wheel-Lift Extend Cylinder Wheel-Lift Claw Cylinder Drivers Side Wheel-Lift Claw Cylinder Passenger Side Oil Leaking Pylon Overall with Minor Scratches/Dents Winch Free-Wheel Mechanism Winch 1 Free-Wheel Mechanism Winch 2 Free-Wheel Mechanism Winch 3 Housing Winch 1 Housing Winch 2 Housing Winch 3 Operation Without Load Operation Without Load tes Test Operation Loaded Test Operation tes Winch 1 Cable Winch 2 Cable Winch 3 Cable Cable Tensioner rmally Performs rmally Wheel-Lift L-Arms/Scoops L-Arm Straps L-Arm Storage Driver Side Claw Passenger Side Claw Driver Side Slide Tray Missing -The drivers side cylinder is leaking from seal Passenger Side Slide Tray In Fair -One chain hook broke off Passenger Side Slide Tray Locks Driver Side Slide Tray Locks (2) Driver Side Front Stops (Vulcan) Passenger Side Front Stops (Vulcan) Driver Side L-Arm Swivel Passenger Side L-Arm Swivel (2) Center Pivot Pin and Bushing Wheel-Lift Cross-Bar Pins and Bushings Extension Tube Outer Wheel-Lift Assembly Wheel-Lift Swivel Lock Pins Wheel-Lift Swivel Lock Pins (2) Scoop Locking Pins and Chains In Fair Conditon Wheel-Lift Driver Side Claw Cylinders Wear Pads Carrier Electrical Systems Switch Panel Overall Wiring Bed Wiring Harness Junction Boxes Marker Lights Driver Side Turn Signals Upper Passenger Side Turn Signals Upper Driver Side Turn Signals Upper Lower Passenger Side Turn Signals Lower Extra Warning Lights Extra Clearance Lights UpperWork Lights Lower Work Lights Work Lights Mounted Near Winch Beacon Light Tow Light Plug at Tail-Board License Plate Light Some Switch -Orange switch for beacon is broke Issues Exposed or Patched Wiring Inoperative (See ) Broken or Missing -Some wiring repairs need to be preformed - lights in control hoods Tool Boxes Box Driver Side 1 Box Driver Side 2 Box Passenger Side 1 Box Passenger Side 2 In Fair Fenders Drivers Side Passenger Side Carrier Components Bed Hold-Downs Rear Bed Mounting (Pivot Pin) Driver Side Tail-Light Housing Passenger Side Tail-Light Housing (2) Rear Tail Section Body Lubrication Points Bed Pivot Pin Lift Cylinder Pins Wheel-lift Tilt Pin Wheel-Lift Pivot Pin Wheel-Lift Upper Slide Pads In Need of Repair In Fair Condtion In Fair Condtion -Plug works but screw that holds plug in place is missing -Door doesn't close tightly and latch is missing lock cylinder -Pin locking plate broke away from pin, needs to be welded back together vember 06, 2015 03:11 PM
Page: 8 of 8 Serial : Body Lubrication Points Wheel-Lif tlower Slide Pads Deck Slide Back Wear Pads Tool Box Door Hinges and Locks In Need of Lube Carrier Chains Front Safety Chains Rear Safety Chains V-Chains Chains V-Chains Straps -Need to be replaced chains are mismatched Broken or Missing Missing Mud-Flaps Mounting Brackets Mud-Flap In Need of Replacement vember 06, 2015 03:11 PM