Motor Vehicle Description Checklist

GSA MOTOR VEHICLE STANDARD DESCRIPTION

AND VEHICLE CHECKLIST

NOTE: Please complete the necessary blanks and place an (X) in the correct feature/description.

Agency: _____Navy______Report No. / Vehicle No.____N9743840______

Manufacturer___International______Make 4700______

Body Style_TANK TRUCK, VACUUM______Model_T 444E______

Year Manf.____2001______VIN __1HTSCABR22H407309__

Capacity_____1800 GAL______Transmission Drive Type ______

Body ColorWHITE Manual or Automatic__MANUAL______Tires (Make/Model) ___Goodyear G 159_

No. Doors ____2___ Fuel TypeDIESEL______FSC______Number of Cylinders__8______

Pickup Bed (narrow or wide) _N/A______Tonnage ______Feet Long__24______GVWR_33000 LBS__

Odometer Reading_001618______Is Odometer Reading True/Actual or Mileage Unknown___TRUE______

Please check/list any special features and accessories:

□ 4x4 / □ Anti-Lock brakes / □ Extended Cab / □ Power Brakes / □ Sunroof
□ 4x6 / □ Anti-Theft / □ Fabric Interior / □ Power Locks / □ Tilt Steering
□ 6x6 / □ AWD / □ Hub Caps / □ Power Mirrors / □ Tire Chains
□ Airbags / □ Cassette / □ Intermittent Wipers / □ Power Steering / □ Towing Package
□ Auxiliary gas tanks / □ CD Player / □ Keyless Entry / □ Power Windows / □ Utility Body
□ Air Conditioning / □ Cruise Control / □ Leather Interior / □ Rear Defrost / □ Winch
□ Alloy Wheels / □ Crew Cab / □ Manuals / □ Side Packs / □ Power Seats
□ AM/FM radio / □ Dual Wheels

List other vehicle features/accessories not listed above: ___Marine band VHF (OOC)______

______

Please check/describe vehicle condition:

□ A/C Inoperable / □ Electrical Problems / □ Headlights Inoperable / □ Starter Bad-Won’t Start
□ Battery(s) Dead/Missing / □ Exhaust System Problem / □ Keys Missing / □ Speedometer Inoperable
X Body Damage, Rust / □ Fire Damage / □ Parking Lights Inoperable / □ Suspension Problems
□ Brakes Worn / □ Flood Damage / □ Mechanical Problems / □ Transmission Leak
□ Dents, Minor / □ Fuel Gauge Inoperable / □ Minor Scratches / □ Trans. Repairs Req.
□ Engine Part(s) Required / □ Interior Damaged / □ Odometer Inoperable / □ Visual Blemishes
X Engine Repairs Req. / □ Hazard Lights Inoperable / □ Oil Leaks / □ Windshield Cracked
□ Engine Smoke / □ Horn Inoperable / □ Radiator Leak / □ Wipers Inoperable
□ Axel Damage / □ Frame Damage / □ Tires(condition)

Has the vehicle been in a major accident or had a major repair (Y/N)?

If yes, please describe: ______NO_______

Describe any other vehicle deficiencies not listed above: Unknown engine problem, most likely a fuel/water engine sensor, causing engine to shutdown randomly. Passenger side wiper missing. Passenger side headlight OOC. Rear left turn signal and hazard lights OOC.

Please Check Appropriate Condition Code:

__Code 1 = Excellent

__Code 4 = Usable

X Code 7 = Repairable (Mechanical and/or accident repairs required)

__Code S = Scrap (Major mechanical or accidents repairs required.)

__Code X = Salvage (Not to be “Titled” for highway use.)

Return Completed Form along with SF-120 or SF 126 to the respective regional GSA sales office responsible for the property.

Point of Contact, Email, & Phone #Robin Abrahams / /850-235-5378

GENERAL SERVICES ADMINISTRATION

PROPERTY MANAGEMENT DIVISION