| GENERAL APPEARANCE |
| Cleaning Required | No |
| S.O.S. Taken | No |
| Bumper | Good |
| Cab or Canopy | Good |
| Decals | Good |
| Draw Bar | Good |
| Fenders | Good |
| Fuel Tank | Good |
| Grab Irons | Good |
| Hood | Good |
| Paint | Good - Has been repainted, some scratches and surface rust on lower machine |
| Sheet Metal | Fair - Dents along lower rear panel |
| Steps / Ladder | Good |
| SAFETY ITEMS |
| ROPS | Yes |
| Back Up Alarm | Good |
| Horn | Good - Working |
| Parking Brake - SAFETY ITEMS | Good - Working |
| GAUGES, OPERATOR STATION, CONSOLE |
| Dash Console | Good |
| EMS Panel / Warnings | Good - EMS warning lights working |
| Gauges | Good - All gauges working |
| Glass/Mirrors | Good - Mirror in place |
| Heater | Good |
| Seat Cushion / Arm Rest | Good |
| ENGINE |
| Blow By | No |
| Compression in Radiator | No |
| Fluid Levels OK? | Yes |
| Knocking | No |
| Oil Leaks | No |
| Water in Oil | No |
| Notes - ENGINE | - Powered by caterpillar C4.4L |
| Oil Pressure (H/L/N) | - Warning light goes out when started |
| Engine Supports | Good |
| Fuel Injection System | Good |
| Operating Condition - ENGINE | Good - Starts and runs good |
| Turbocharger / Blower | Good |
| COOLING SYSTEM |
| Leaks - COOLING SYSTEM | No |
| Standard Radiator | Yes |
| Belts / Pulleys - COOLING SYSTEM | Good |
| Fan | Good |
| Hoses | Good |
| Radiator | Good |
| ELECTRICAL, STARTING AND CHARGING SYSTEM |
| Block Heater | No |
| Ether Aid | No |
| Alternator | Good |
| Batteries / Cables | Good |
| Starter | Good |
| Wiring | Good |
| TRANSMISSION |
| Leaks - TRANSMISSION | No |
| Transmission - Noisy | No |
| Case | Good |
| Controls - TRANSMISSION | Good |
| Lines / Fittings - TRANSMISSION | Good |
| Operating Condition - TRANSMISSION | Good - Operates good, |
| Seals | Good |
| Transmission - Forward Shifts | Good |
| STEERING |
| Steering Linkage | Good - Pilot operated joystick controls |
| Steering Operating Condition | Good - Steers good |
| BRAKE |
| Notes - BRAKE | - Service and parking brake working good |
| HYDRAULICS |
| Leaks - HYDRAULICS | No |
| Angle Cylinder | Fair - Left angle cylinder seeping, leaking |
| Control Linkage - HYDRAULICS | Good |
| Hose Lines | Good |
| Lift Cylinders | Good - Both dry |
| Overall Operating Condition | Good - Hydraulic functions operated good |
| Tilt Cylinder | Good - Dry |
| BLADE |
| Notes - BLADE | - 10’3ft wide, |
| Cutting Edge & Bits | Good - Has been flipped, has good life left |
| Face / Moldboard | Good - Lower face corners been plated |
| Pins | Good |
| Push Arm | Good |
| Tower | Good |
| Trunnions | Good - Has cap shims to remove to adjust when needed |
| UNDERCARRIAGE |
| Average Life Remaining - UNDERCARRIAGE | - 99 |
| Notes - UNDERCARRIAGE | - New undercarriage |
| Notes - UNDERCARRIAGE 1 | - New bottom |
| Notes - UNDERCARRIAGE 2 | - 36-link |
| Pins & Bushings Turned? | No |
| Track Frame - Left | Good |
| Track Frame - Right | Good |
| Carrier Rollers Front | |
| Idlers Front | |
| Links | |
| Pins & Bushings (External) | |
| Track Roller 6 | |
| FINAL DRIVES |
| Housings, Left | Good |
| Housings, Right | Good |
| COMMENTS, MISC. REPAIRS, GENERAL REMARKS |
| comment 1 | - Runs and operates good |
| comment 2 | - Tight well maintained |
| comment 3 | - System status report loaded to inspection |
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