Attachment 1.1 - Service Record (Rev. 8.14.24) (39)Fores Service WO#126232.pdf

Service Record

DID YOU KNOW? WE ALSO PROVIDE THE FOLLOWING:

Sales • Rentals • Installa�on • Service • IR Scanning • UPS • Green Power Op�ons

925.229.2700 916.564.2622 866.468.7697 Emergency Service 24/7

Rev. 8.14.24-rj

Date of Service:

Customer Name:

WO/

Doc #:

Loca�on/

ID:

Generator/ Equipment:

Serial No:

Service Technician:

Unit Placed in Off Posi�on at Start of Service:

Yes No

Engine

Oil Added __________ Changed

Inspected

Air Filter Yes No N/A Inspected

Cleaned

Coolant Added __________ Changed Test Strip Reading _____________

Hour Meter Working:

Yes No

Hour Meter Upon Arrival: Hour Meter A�er:

Indicate (if changed):

Air Filter Spark Plugs Points Fuel Filter Rotor Condenser Oil Filter Cap

Rate on a scale of 1 to 3 (1=Excellent, 2=Fair, 3=Poor) Spark Plug Wires

Fuel Lines

Oil Lines

Gov Coolant Hoses

Block Heater

Blk Htr Hose

Control Panel

Fuel Tank

Fuel Radiator Turbo Belts Water Pump

Radiator Cap

Remote Annunciator

Generator Rate on a scale of 1 to 3 (1=Excellent, 2=Fair, 3=Poor) Control Box

Overall Condi�on

Visual Inspec�on for signs of heat and wear

Generator Wipe Down Yes No & Clean of Debris

Accessories Fuel Supply Level: Diesel Fuel Treated

Yes No With Condi�oner?

Batery Test: Pass Fail Batery

Date:

Fuel Visual Inspec�on Pass Fail Batery Changed: Yes No

Rate on a scale of 1 to 3 (1=Excellent, 2=Fair, 3=Poor) Terminals Cables Batery

Charger Se�ng Mounts Housing Hydrometer

Reading:

Transfer Switch Visual Inspec�on of ATS:

Yes No Heat and Wear:

Yes No Batery Replacement Date:

(Date on Batery)

Bateries Changed: Yes No

Exercise Clock: Yes No Date: Time: Dura�on:

Systems Test Startup First Time? Yes No Generator Run Time Dura�on? Transfer Test Explained/Offered? Yes No

Voltage Hertz Amps Oil Pressure Temp No-Load Source Reading:

With Load Reading:

Exhaust System Visual Inspec�on: Yes No Rain Cap: Yes No Petcock Valve? Yes No Drained: Yes No

Overall Appearance: Any Significant Leaks? Yes No Access? Yes No Ven�la�on: Yes No

Compliance Is Breaker “ON” Yes No If no, state and in “AUTO”? reason why --------------------------------------------------------------------------------------------------------

Fuel Sample Yes No N/A Taken? NFPA 110

Unit Remote Yes No Monitored?

Rupture Basin Yes No Unknown N/A Test? CFC5003

SPCC Plan? Yes No Unknown N/A

Does Facility Have Yes No A Diesel Fire Pump?

Does CD&P Perform Yes No Service on Pump?

Does Facility Have Yes No

A UPS?*

Hazardous Fluids Yes No Removed From Site?

Tank Inspec�on? Yes No Unknown N/A

STISP001

PTO Reviewed? Yes No N/A

AQMD

Log Book Yes No N/A on Site?

PTO Onsite? Yes No Pictures Taken Yes No If Repairs Suggested? (if yes, see Parts Req.)

Parts Req. Filled Yes No Out if Repairs Are Suggested?

Notes: (Missing Items or Concerns)

*If yes (facility has UPS), send picture to mtzservicepaperwork@gotpower.com

Attachment: 1.1

Rebekah Line

Rebekah Line