| GENERAL APPEARANCE |
| S.O.S. Taken | No |
| Bumper | Good |
| Cab or Canopy | Good |
| Decals | Fair |
| Draw Bar | Good |
| Fenders | Good |
| Fuel Tank | Fair - LEFT REAR CORNER OF FUEL TANK DENTED |
| Grab Irons | Fair - BENT |
| Hood | Good |
| Paint | Fair - FADED, SURFACE RUST AND PAINT CHIPS PRESENT |
| Pre-Cleaner Bowl | Good |
| Sheet Metal | Good |
| SAFETY ITEMS |
| ROPS | Yes |
| Back Up Alarm | Good - WORKING |
| Horn | Good |
| Parking Brake - SAFETY ITEMS | Good |
| GAUGES, OPERATOR STATION, CONSOLE |
| Dash Console | Good |
| EMS Panel / Warnings | Good |
| Gauges | Good - ALL GAUGES WORKING |
| Glass/Mirrors | Good |
| Seat Cushion / Arm Rest | Good |
| ENGINE |
| Blow By | No |
| Fluid Levels OK? | Yes |
| Knocking | No |
| Oil Leaks | No |
| Notes - ENGINE | - POWERED BY MITSUBISHI 6 CYL DIESEL |
| Oil Pressure (H/L/N) | - OPERATED IN NORMAL RANGE |
| Engine Supports | Good |
| Fuel Injection System | Good |
| Operating Condition - ENGINE | Good - RUNS GOOD |
| COOLING SYSTEM |
| Standard Radiator | Yes |
| Belts / Pulleys - COOLING SYSTEM | Good |
| Fan | Good |
| Hoses | Good |
| Radiator | Good |
| ELECTRICAL, STARTING AND CHARGING SYSTEM |
| Alternator | Good |
| Batteries / Cables | Good |
| Starter | Good |
| Wiring | Fair |
| TRANSMISSION |
| Leaks - TRANSMISSION | No |
| Transmission - Noisy | No |
| Case | Good |
| Controls - TRANSMISSION | Fair - HAS SOME PLAY IN DIRECTIONAL CONTROLS |
| Lines / Fittings - TRANSMISSION | Good |
| Operating Condition - TRANSMISSION | Good - SHIFTED GOOD THROUGH SPEEDS |
| Seals | Good |
| Temp / Pressure Gauges | Good |
| Transmission - Forward Shifts | Good |
| Transmission - Reverse Shifts | Good |
| STEERING |
| Steering Clutch | Good |
| Steering Linkage | Good |
| Steering Operating Condition | Good - STEERS GOOD |
| BRAKE |
| Notes - BRAKE | - SERVICE AND PARKING BRAKE WORKING GOOD |
| HYDRAULICS |
| Angle Cylinder | Good |
| Control Linkage - HYDRAULICS | Good |
| Hose Lines | Good |
| Lift Cylinders | Good |
| Overall Operating Condition | Good - HYDRAULIC FUNCTIONS OPERATE GOOD |
| Tilt Cylinder | Good |
| BLADE |
| Notes - BLADE | - 8’4ft WIDE BLADE |
| Cutting Edge & Bits | Good |
| Face / Moldboard | Good - HAS BEEN REPLATED |
| Pins | Good - JUST STARTING TO SHOW WEAR |
| Push Arm | Good |
| Tower | Good |
| Trunnions | Good - TIGHT, CAP SHIMS REMAIN |
| UNDERCARRIAGE |
| Pins & Bushings Turned? | No |
| Average Life Remaining - UNDERCARRIAGE | - 80% |
| Notes - UNDERCARRIAGE 2 | - 39-LINK TRACK |
| Track Frame - Left | Good |
| Track Frame - Right | Good |
| Carrier Rollers Front | |
| Idlers Front | |
| Links | |
| Pins & Bushings (External) | |
| Track Roller 4 | |
| FINAL DRIVES |
| Housings, Left | Good |
| Housings, Right | Good |
| COMMENTS, MISC. REPAIRS, GENERAL REMARKS |
| comment 1 | - RUNS AND OPERATES GOOD |
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