Section_J_-_Atch_4_-_Vehicle_Repair_Request.pdf
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- Attached to
- Student Support Services Federal contract opportunity
- Solicitation number
- HSFLAR-17-R-00001
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Section J - Atch 4
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Text version
FTC-OST-66 (4-86)
VEHICLE
REPAIR
REQUEST
TAG NO. MILEAGE PARKED IN SPACE IF
APPLICABLE
DATE
AGENCY DRIVER TIME
CHECK AND
BRIEFLY
EXPLAIN ANY
DEFICIENCIES
IN THE
FOLLOWING:
AIR CONDITIONER
ALTERNATOR - BATTERY
BODY DAMAGE
BRAKES - CLUTCH
ENGINE
EXHAUST
HEATER/DEFROSTER
INSPECTION, MILES
LEAKS
LIGHTS/TURN SIGNALS
RADIATOR
STARTER
STEERING
TIRES
Attachment 4
Attachment 4
TRANSMISSION
W/S WASHER
W/S WIPERS
OTHER REMARKS
MOTOR POOL USE
ONLY
ACTION TAKEN DATE AND TIME AGENCY
NOTIFIED
MECHANIC DATE AND TIME PICKED UP
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