SCOFIELD'S TOWING INC.

43 South Skiview Drive Beloit, Wisconsin 53511 608-921-0726

Monthly Vehicle Inspection Sheet
Date Time in Time out am / pm am / pm

Company / Scofield s Towing INC Make / Ford / Year - 1995 Model / Superduty Rollback License / Wisconsin / GD 33109 Vin # 1FDLF47F1SEA43518

Total Mileage Inspector signature

Tire info. LT 235 / 85 R 16 120/1160 M+S Load Range E 80 PSI. for all tires Corrective action taken Corrective action taken OK OK

Change oil Change oil filter Moter oil level Moter coolant /change Brake fluid level Power steering fluid Headlamps Taillamps Turn signals Four way warning lamps Towing lamps (on top) Work lamps Oil pressure Windshield Back window Mirrors Windshield wipers Defroster Horn Parking brake Brakes ( check pedal) Steering (tight?) Speedometer / tach Fuel gage Jack (works) U joints (tight)
Comments or corrective action done:

Winch line (frayed,flat spots,rusty?) Winch mounting bolts ( tight) Hydraulic rams, hoses,valves (leaks) J- hooks , T-hooks assembly Chains (bent,stretched,cracked All hooks (bent,stretched,cracked) Chain binders (Cracked,Bent?) Winch straps (frayed) Steering wheel tie down (frayed) Snatch block (works freely) Wooden blocks (need replacing) Wood 4x4 (need replacing) Mud flaps (damage) Grease all fittings Skid plates (need replacing) Front end tie rods,ect. Fire extinguiser (full) Exhaust sys. (leaks or loud ?) Hyd fluid change Hyd filter change Hyd fluid level (bottom of screen min) Frame (check complete for cracks) Fuel tank caps Trans & rear end fluid Unusal tire wear Tire presure (front and rear)

SCOFIELD'S TOWING INC. 43 South Skiview Drive Beloit, Wisconsin 53511 608-921-0726