| GENERAL APPEARANCE |
| Cleaning Required | Yes |
| Cab or Canopy | Poor - Left outer edge of canopy dented, torn |
| Decals | Fair - Chipped peeling |
| Draw Bar | Good |
| Fenders | Good |
| Fuel Tank | Good |
| Grab Irons | Good |
| Hood | Good |
| Paint | Fair - Faded, surface rust and paint chips over lower machine areas |
| Sheet Metal | Fair - Right rear sheet medal over rops post dented |
| Steps / Ladder | Good |
| SAFETY ITEMS |
| ROPS | Yes |
| ROPS Certification Plate | Yes |
| Back Up Alarm | Good - Working |
| Horn | Fair - Working (sound is off) |
| Parking Brake - SAFETY ITEMS | Good - Working |
| GAUGES, OPERATOR STATION, CONSOLE |
| Dash Console | Good |
| EMS Panel / Warnings | Good |
| Gauges | Good - All gauges working |
| Glass/Mirrors | Good - Mirror in place |
| Heater | Good |
| Seat Cushion / Arm Rest | Fair - Light weathering cracks and splits starting |
| Switches | Good |
| ENGINE |
| Blow By | No |
| Compression in Radiator | No |
| Fluid Levels OK? | Yes |
| Knocking | No |
| Oil Leaks | No - Seepage at fuel line adaptors at valvecover |
| Water in Oil | No |
| Notes - ENGINE | - Powered y caterpillar C4.4. 4-cylinder turbo diesel |
| Oil Pressure (H/L/N) | - 39psi at idle warm |
| Engine Supports | Good |
| Fuel Injection System | Good |
| Operating Condition - ENGINE | Good - Starts and runs good |
| Turbocharger / Blower | Good |
| COOLING SYSTEM |
| Standard Radiator | Yes |
| Belts / Pulleys - COOLING SYSTEM | Good |
| Fan | Good |
| Hoses | Good |
| Radiator | Good |
| Water Pump | Good |
| ELECTRICAL, STARTING AND CHARGING SYSTEM |
| Ether Aid | Yes |
| Alternator | Good |
| Batteries / Cables | Good |
| Starter | Good |
| Wiring | Good |
| TRANSMISSION |
| Leaks - TRANSMISSION | No |
| Transmission - Noisy | No |
| Case | Good |
| Controls - TRANSMISSION | Good |
| Operating Condition - TRANSMISSION | Good - Operated good through speeds |
| Seals | Good |
| Transmission - Forward Shifts | Good |
| Transmission - Reverse Shifts | Good |
| STEERING |
| Steering Linkage | Good |
| Steering Operating Condition | Good - Steers good tracks straight |
| BRAKE |
| Notes - BRAKE | - Service and parking brake working |
| HYDRAULICS |
| Angle Cylinder | Good - Both dry |
| Control Linkage - HYDRAULICS | Good - Right pilot operated joystick controls |
| Hose Lines | Good |
| Lift Cylinders | Good - Both dry |
| Overall Operating Condition | Good - Hydraulic functions operated good |
| Tilt Cylinder | Good - Dry |
| BLADE |
| Notes - BLADE | - Serial 255-1365, |
| Cutting Edge & Bits | Fair - Worn reads for flip |
| Face / Moldboard | Fair - Lower face has been plated, in corners, has some wear and denting in areas, |
| Pins | Good |
| Push Arm | Good |
| Tower | Good |
| Trunnions | Good - Tight has cap shims to remove to adjust play when needed |
| UNDERCARRIAGE |
| Average Life Remaining - UNDERCARRIAGE | - 84% |
| Notes - UNDERCARRIAGE | - system one undercarriage |
| Notes - UNDERCARRIAGE 1 | - 36-link |
| Pins & Bushings Turned? | No |
| Track Frame - Left | Good |
| Track Frame - Right | Good |
| Carrier Rollers Front | |
| Links | |
| Pins & Bushings (External) | |
| Track Roller 5 | |
| FINAL DRIVES |
| Housings, Left | Good |
| Housings, Right | Good |
| COMMENTS, MISC. REPAIRS, GENERAL REMARKS |
| comment 1 | - Runs and operates good |
| comment 2 | - System status report loaded to inspection |
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