Vehicle Multi-Point Inspection

OUR VAL UED CUS TOM ER

Victor Fernandez

12713 San Fernando Rd #102

Sylmar, CA 91342
victorhemandezinfo@me.com

Aub rey Allen E. Baltazar

Service Consultant Certified Technician
(818) 778-2139
aallen@galpin.com

YOU R VEH ICLE

Year Make Model Engine Type

2022 Ford Bronco 2.3L 4-cyl H DOHC (DI)

Odom eter VIN# Licen se# Date

9,061 I FMDE5DH8NLB 19335 9BIHl75 11/30/2022

Galpin Ford
vd North Hills, CA• (818) 975-2476 • www.GalpinFord.com
: 183904 Bl
15505 Roscoe
 ' . r?' ,, ;-;r,,.. ,;J, .

Or i ina l1.C.11stOmer. R'e ·uests .

ollow ing is what you requested w e per1o "' . .
nn or i f
1gate regarding your vehicle:
✓ I . Vehi cle recei ved fr nves
om tow truck operator.
✓ 2 . BF- Cust omer States at around. 60 mph when applying brakes foot goes to the floor and feels
unsaf e- road test inspect ad n ad vise ....
✓ 3. Galp in Ford Service Department will .
Reca lls. check for any open Field Service Action Campaigns or

✓ 4 - Perfo rm a tire press h kl' •

ure c ec inflation service on your vehicle.
✓ 5 Perfo rm court esy Multi-Point Inspection (MPI)
·

Galp in Ford Xpre ss Insp ectio n

Packa e Results
Pass ed Task
Meas ure rear brake linin g
thick ness
Meas ure front brake lining
hickn ess
Perfo rm batte ry perfo rman ce test Batte ry passe s perfo
Left front tire tread depth
Left rear tire tread depth
Righ t front tire tread depth
Reco mme ndat ion Don e
Obse rvati on
10m m
10m m
rmance test
Left front tire tread measures
10/32": Inspect tire next service
Left rear tire tread meas ures
9/32" : Inspe ct tire next service
Righ t front tire tread measures
10/32": Inspe ct tire next service

·glit rear tire tread depth Righ t rear tire tread meas ures
9/32": Inspe ct tire next service

Chec k and adjus t front tire Fron t tire press ure was set to 35
press ure psi - Chec k tire press ures mont hly

Chec k and adjus t rear tire Rear tire press ure was set to 3 5
press ure psi - Chec k tire press ures mont hly

Fill wind shiel d wash er fluid Foun d wash er fluid level low:
Fille d to prop er level

Passed Task s
2
Galpin Ford
RO#: 28390 4 North Hills, CA • (818) 975-2476 • www.GalpinFord.com
15505 Rosco e Blvd
 exhnust system for lenks.
11 g.c. nnd loose pnrts
/ Inspect haznrd light operation
lnsp~ct taillight. turn signal. side marker,
✓ and license plate lights
✓ Inspect wiper and washer operation
✓ Inspect dash and interior lights
✓ Inspect brake system components
(Rotors, Calipers etc.)
✓ Inspect battery terminals and cables
✓ Inspect steering components
✓ Inspect engine for oil leaks
✓ Inspect cooling system for leaks
✓ Inspect sway bar components
✓ Right front tire tread depth
✓ Check and adjust rear tire pressure
✓ Inspect front differential for leaks (in
applicable vehicles)
✓ Inspect wiper blades
✓ Time and Mileage based
recommendations
✓ Check transmission fluid level and
condition
✓ Check power steering fluid level and
condition (if applicable)
Tire recommendations based on overall
✓ tire wear and condition
Recommended Services
Our technicians recommend the following services for your vehicle.
I. Vehicle received from tow truck operator.
2 BF- Customer States at around 60 mph when applying brakes foot goes to the
fl~or and feels unsafe- road test inspect adn advise ....
RO#: 283904
!5505 Roscoe Blvd Nonh Hills, CA • (818) 975-2476 • www.GalpinFord.com
✓ Inspect wheel bearings
✓ Inspect transmission mounts
✓ Inspect brake light operation
Inspect taillight, tum signal, and side
✓ marker assembli es for cracks and
damage
✓ Check horn operation
✓ Measure rear brake lining thickness
✓ Inspect instrument cluster warning
lamps
✓ Inspect drive belts
✓ Inspect front suspension components
✓ Inspect transmission for leaks
✓ Inspect fog/driving lights (in applicable ✓ Inspect steering system for leaks
vehicles)
✓ Left front tire tread depth
✓ Right rear tire tread depth
✓ Windshield for cracks, chips and pitting ✓ Inspect hood struts
✓ Inspect rear differential for leaks (in
applicable vehicles)
✓ Inspect wheels for damage
✓ Check engine performance
✓ Check brake fluid level and condition
✓ Fill windshield washer fluid
_ _ _ _ _ _ __t____
Galpin Ford
Inspect axles, drivcshafl(s) U-joints and
✓ CV joints/boots
✓ Inspect fuel tank, lines, and connections
✓ Inspect reverse light operation
Inspect headlight low and high beam
✓ operation
t heating and air conditioning
✓ lnspec_
operation
✓ Measure front brake lining th ickness
✓ Perform battery performance test
✓ Inspect all hoses and clamps
✓ Inspect rear suspension components
Inspect brake system for leaks
✓
✓ Left rear tire tread depth
✓ Check and adjust front tire pressure
Inspect transfer case for leaks (in
✓ applicable vehicles)
✓ Inspect engine air filter
Check engine oil level and condition
✓
Check engine coolant level and
✓ condition
Inspect cabin air filter (in applicable
✓ vehicles)
X
_ J __ _ _- - ' - - - -
~
3
I
 , 1I t,,'., ' - - '
. : tion Campaigns or Recalls. X
~ form a tire pressure check/inflation service on your vehicle.
X
·s. Perform courtesy Multi-Point Inspection (MPI) X
Subtotal

Galpin Ford 4
RO#: 283904 H'll CA • (8 I8) 975-2476 • www.GalpinFord.com
I 5505 Roscoe Blvd North , s,
Victor Fernandez A/R Number: Invoice Number
12713 San Fernando Rd #102 Customer Number: 5309212 283904
PO Number: Printed:
Sylmar, CA 91342
Auth Number: Copy Number: 1
Phone (H): Phone (W):
Service Writer: Aubrey Allen 11/ 26/
Phone (C): (818) 233- Date Opened:
Phone Oth: 2022
6921
Year/Make/Model: 2022 Ford Bronco Terms & Conditions: Date Notified:
Date 12/ 01/
VIN: 1FMDE5DH8NLB19335 Type Of Sale:
Delivered: 2022
License Number: 9BIH175 By providing your electronic signature, you are confirming that you have
Stock Number: Mileage In: 9061 read and accepted our Privacy Policies and acknowledge receipt and
approval of the work, terms, and conditions described in your electronic
repair Invoice. If there was an increase in the original estimated price of
Mileage parts or labor, you acknowledge notice and approval of that increase.
Tag Number: TR1196 9099
Out:
.SIGNHERENOW.
Customer Signature
 Ext Grand
Description Quantity List
Total Total
1 Vehicle Concern
Vehicle received from tow truck operator.
1 -- Cause/Action to take
TOW IN
1 -- Correction Action Taken
The vehicle was towed in to the facility 0.00

2 Vehicle Concern
BF- Customer States at around 60 mph when applying brakes foot
goes to the floor and feels unsafe- road test inspect adn advise....
2 -- Cause/Action to take
mt. npf
2 -- Correction Action Taken
road test veh. at freeway speeds can not verified customer
concern, ck for any codes none, ck oasis for any tsb or ssm none
found, ck front and rear brake pads and rotors ok, front 10mm,
rear 10mm, veh. braking as design. 90487 Warranty

3 Vehicle Concern
Galpin Ford Service Department will check for any open Field
Service Action Campaigns or Recalls.
3 -- Cause/Action to take
Check for recalls.
3 -- Correction Action Taken
Verified. Warranty

4 Vehicle Concern
Perform a tire pressure check/inflation service on your vehicle.
4 -- Cause/Action to take
Tire Pressure Check.
4 -- Correction Action Taken
Performed a tire pressure check/inflation service on the operating
tires of the vehicle. Front Left: 35 PSI Front Right: 35 PSI Rear Left:
35 PSI Rear Right: 35 PSI Warranty

5 Vehicle Concern
Perform courtesy Multi-Point Inspection (MPI)
5 -- Cause/Action to take
Multi-Point Inspection completed. See Attached Report Card.
5 -- Correction Action Taken
Technician performed courtesy Multi-point Inspection. See
attahcment 90487 0.00

GALPIN CHARGES FOR REPAIR LABOR ARE NOT BASED ON ACTUAL MECHANIC'S TIME Total Labor: 0.00
SPENT ON THEN JOB. Rather, you are given a menu price which will be quoted to you
Total Parts: 0.00
and authorized by you in advance of the prescribed repair. If we discover that
different or additional repairs are appropriate, you will be contacted for your Total Sublet: 0.00
advance approval of a revised quotation. Our menu prices are computed internally Misc Chrgs: 0.00
by multiplying our retail hourly labor rate by a time factor allotted to the repair. This
time factor and our menu prices are based on our evaluation of the complexity of the Car Rental: 0.00
work required, our costs for doing the business, and, of course, our desire to remain Freight: 0.00
competitive. We believe our menu pricing is advantageous to our customers because Deductible: 0.00
your price for a prescribed repair remains the same regardless of how long the repair
actually takes to be completed. Special Tax: 0.00
"I acknowledge notice and oral
Haz Mat Chrg: 0.00
SERVICE DEPARTMENT HOURS:
7:00 A.M. TO 6:00 approval of an increase in the Sales Tax: 0.00
MONDAY-FRIDAY:
P.M. original estimate price." AMOUNT DUE 0.00
8:00 A.M. TO 5:00 Signature or intials
SATURDAY:
P.M.

RESERVATIONS:: 844-287-7148 Notice to Consumer: Please read

SEE SERVICE SPECIALS @ WWW.GALPINSPECIALS.COM important information on back.
Notice to Consumer: Please read important information on back.
 Galpin Ford/Lincoln Service Parts
& Accessories Limited Warranty
The dealer (Galpin Ford, 15505 Roscoe
Boulevard, North Hills, CA 91343) warrants
that Ford parts and accessories found to be
defective in factory-supplied material or
workmanship will be repaired, replaced, or
exchanged as follows:
Ford, Lincoln, Mercury Cars & Light Trucks:
Repairs prior to 10/1/2013:
12months/12,000 miles, whichever
comes first from the part or accessory
warranty start date.
Repairs on or after 10/1/2013: 24
months/unlimited miles, from the part orABUSE, MISUSE, NEGLECT, ALTERATION,
accessory warranty start date.
650 and Higher Series Trucks:
Repairs prior to 10/1/2013: 12
months/12,000 miles, whichever comes
first from the part or accessory warranty
start date.
Repairs on or after 10/1/2013: 24
months/unlimited miles, from the part or
accessory warranty start date.
The Warranty Start Date for Parts that are:
Dealer-installed: The date of installation.
Sold Over-the-Counter:
To a retail purchaser: The date of
sale.
To a fleet, general installer or
wholesaler: The date the part or
accessory is installed (could be later
than the date of sale).
The purchaser must return the defective ARE LIMITED TO THE DURATION AND
part or accessory to the dealer’s place of TERMS OF THIS WRITTEN WARRANTY. The
business during regular business hours for above limitations or exclusions may not
repair or replacement. The purchaser must apply, because some states do not allow
present the original counter sale receipt or limitations on how long an implied
repair order for a dealer-installed part or warranty lasts, or they may not allow the
accessory in order to validate the date and exclusion or limitation of incidental or
mileage on the vehicle at the date of sale consequential damages. This warranty
or installation of the original part or gives you specific legal rights, and you
accessory. If the purchaser is traveling or may also have other rights that vary from
has moved to a different locality, any state to state. The following parts and
accessories have different parts, labor,
authorized Ford Motor Company dealer will
parts allowance, or time/mileage coverage
fulfill this warranty.
than what is described above. Please see a
THIS WARRANTY DOES NOT COVER PARTS parts or service manager for more
AND ACCESSORIES THAT FAIL DUE TO information.
ACCIDENT, RACING, OR THE USE OF Air Conditioning System
NONFORD PARTS, OR PARTS AND Battery
Bed Liner and Cargo Linger
ACCESSORIES INSTALLED IN VEHICLES
OTHER THAN THOSE LISTED IN THE Belts and hoses
COVERAGE STATEMENT INCLUDING OTHER Bumper-MasterGuard
FORD MOTOR COMPANY BRANDS, OR Cellular Phone
PARTS WHICH ARE REPLACED AS A PART Diesel Engines
OF NORMAL MAINTENANCE. Emissions Control System
Ford Remanufactured Engine and
THERE IS NO OTHER EXPRESS WARRANTY Transmission Assemblies
OF FORD MOTOR COMPANY-SUPPLIED Lift Supports
REPLACEMENT PARTS AND ACCESSORIES. Motorcraft Parts
Sheet Metal
Galpin Ford disclaims any responsibility for Shock absorbers and struts
loss of time, use of the part(s) or the Spark plug wiring set
vehicle involved, transportation, or any Tires (tires are warranted by the tire
other incidental or consequential manufacturer; see the manufacturer
damages. ANY IMPLIED warranty brochure for details)
WARRANTIES,INCLUDING THE IMPLIED Walker exhaust SDS System
WARRANTY OF MERCHANTABILITY AND Wiper blades
FITNESS FOR A PARTICULAR PURPOSE,

WARNING: Operating, servicing and maintaining a passenger vehicle or off-highway motor

vehicle can expose you to chemicals including engine exhaust, carbon monoxide, phthalates, and
lead, which are known to the state of California to cause cancer and birth defects or other
reproductive harm. To minimize exposure, avoid breathing exhaust, do not idle the engine except
as necessary, service your vehicle in a well-ventilated area and wear gloves or wash your hands
frequently when servicing your vehicle. For more information go to
www.P65Warnings.ca.gov/passenger-vehicle.

NOTICE TO CONSUMER

A buyer of this product in California has the right to have this product serviced or repaired during the
warranty period. The warranty period will be extended for the number of whole days that the product has
been out of the buyer’s hands for warranty repairs. If a defect exists within the warranty period, the warranty
will not expire until the defect has been fixed. The warranty period will also be extended if the warranty
repairs have not been performed due to delays caused by circumstances beyond the control of the buyer, or
if the warranty repairs did not remedy the defect and the buyer notifies the manufacturer or seller of the
failure of the repairs within 60 days after they were completed. If, after a reasonable number of attempts, the
defect has not been fixed, the buyer may return this product for a replacement or a refund subject, in either
case, to deduction of a reasonable charge for usage. This time extension does not affect the protections or
remedies the buyer has under other laws.
1. Customer is hereby notified that the said property is not insured or protected to the of the electronic message or phone call, and, if mailed, upon deposit into the United
amount of the actual cash value thereof, or otherwise against loss occasioned by States mail.
theft, fire or vandalism while the property remains with the dealer. 7. If the vehicle described herein is not called for within three (3) days after such notice
2. Customer agrees to remove all personal property from vehicle, agrees that dealer is is given, a storage charge of $50.00 per day will be made for each day thereafter.
not obligated to inspect the vehicle for personal property, and releases dealer from 8. Dealer is authorized to deliver the vehicle described herein, or any of its contents, to
any liability or obligation with respect to personal property left in the vehicle. any person presenting this receipt.
3. Dealer is not responsible for the unavailability of goods or services from third parties. 9. In additional to any and all other remedies available, customer authorizes dealer to
4. Customer authorizes the repairs to be done along with the necessary labor, parts, and have a lien on the vehicle described herein for all charges for repairs including labor
materials, and hereby grants dealer permission to operate the vehicle on public and parts, storage and/or towing, and to enforce such lien. Said Dealer is hereby
thoroughfares for tests and inspection. expressly authorized to sell said vehicle at public auction after giving a twenty (20)
5. Due to the type of service requested, some repairs must be sublet. day written notice by certified mail to the legal owner, registered owner, and
6. All charges for repairs including labor and materials furnished are due and payable Department of Motor Vehicles of intent to do so. On the sale date, the vehicle shall
simultaneously with the delivery of the within described vehicle or prior delivery upon be sold to highest cash bidder and the proceeds of sale must be used first to satisfy
the expiration of three (3) days after notice that repairs have been completed. Such the lien plus storage costs and costs incident to sale, and the balance shall be
notice may be given (1) orally, via a telephone call made to a number provided by the forwarded to the Department of Motor Vehicles.
customer on the reverse side of this form, (2) via written notification to the address 10. Any expenses incurred during the process of a lien sale, including reasonable
provided by the customer on the reverse side of this form, or (3) electronically, via attorney’s fees, which may be necessarily incurred, will also be paid by the customer.
voice message, text message, or email, made to a telephone number or email address11. If any charges described herein remain unpaid for thirty (30) days after such request
provided by the customer on the reverse side of this form. Notice shall be deemed to for payment, dealer may refer such charges to its attorneys for collection and the
have been given upon transmission customer will pay reasonable attorney’s fees.

G-610 4/19