SCOFIELD'S TOWING INC.

43 South Skiview Drive

Beloit, Wisconsin 53511
608-921-0726
Monthly Vehicle Inspection Sheet

Company / Scofield s Towing INC Date Time in am / pm

Make / Ford / Year - 1995 Time out am / pm
Model / Superduty Rollback Total Mileage
License / Wisconsin / GD 33109 Inspector signature
Vin # 1FDLF47F1SEA43518
Tire info. LT 235 / 85 R 16 120/1160 M+S Load Range E 80 PSI. for all tires
OK Corrective action taken OK Corrective action taken
Change oil Winch line (frayed,flat spots,rusty?)
Change oil filter Winch mounting bolts ( tight)
Moter oil level Hydraulic rams, hoses,valves (leaks)
Moter coolant /change J- hooks , T-hooks assembly
Brake fluid level Chains (bent,stretched,cracked
Power steering fluid All hooks (bent,stretched,cracked)
Headlamps Chain binders (Cracked,Bent?)
Taillamps Winch straps (frayed)
Turn signals Steering wheel tie down (frayed)
Four way warning lamps Snatch block (works freely)
Towing lamps (on top) Wooden blocks (need replacing)
Work lamps Wood 4x4 (need replacing)
Oil pressure Mud flaps (damage)
Windshield Grease all fittings
Back window Skid plates (need replacing)
Mirrors Front end tie rods,ect.
Windshield wipers Fire extinguiser (full)
Defroster Exhaust sys. (leaks or loud ?)
Horn Hyd fluid change
Parking brake Hyd filter change
Brakes ( check pedal) Hyd fluid level (bottom of screen min)
Steering (tight?) Frame (check complete for cracks)
Speedometer / tach Fuel tank caps
Fuel gage Trans & rear end fluid
Jack (works) Unusal tire wear
U joints (tight) Tire presure (front and rear)
Comments or corrective action done:
SCOFIELD'S TOWING INC.
43 South Skiview Drive
Beloit, Wisconsin 53511
608-921-0726