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25J - AGMT - SENIOR MOBILITY PROGRAM
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05/16/2011
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25J - AGMT - SENIOR MOBILITY PROGRAM
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Last modified
1/3/2012 3:45:04 PM
Creation date
5/12/2011 11:25:08 AM
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City Clerk
Doc Type
Agenda Packet
Item #
25J
Date
5/16/2011
Destruction Year
2016
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Attachment 1 <br />Pre- Operation Inspection & Defect Report <br />BusNan No. Date: <br />Fedora! Rsgvtetions state that no motor vahicre carrying passengers for two <br />shad be driven urrtess the driver has determined that the Wowing pans and <br />accessories are in good working order- Each driver is required to submit a <br />s4nad written report daily for each coach driven. <br />Is( Driver. <br />Miles Finish: Mks Start: Mites Elapsed: <br />No Defects: O Defects: O Signature. <br />2nd Drhw <br />Miles Finnish: Mdes Start: Mika Elapsed: <br />No Defects: D Defects: O Signature: <br />3rd Driver <br />Miles Finish: Miles Start ' Miles Elapsed' <br />No Defects. O Defects: O Signature' <br />PREOPERATIONS INSPECTIONS <br />Indicate witty an (x) that each Rem has been checked.' <br />AWPM AMIPM <br />Tires/Lug Nuts (wheels & rims) _I_ Emergency Reflectors <br />Motor-Guard _/_ Turn Signal Switch/Horn <br />Air System First Aid lQ <br />_]_ Llghta/Reflectons Radio <br />Wheelchair Lifts I- Drivers SeaVS0 <br />_j_ Whe fthair Lift Cover _!_ Door Interlock <br />Mirrors 1- W/C Tie Down Straps <br />Windshield WtperstWashers Manual Litt Bar <br />_f_ Fire Exbr gttWw Conduct Wak Aratnd <br />_t_ Steering Mechanism -!- ParkatpfBrakeWService <br /> Brakes <br />DEFECTS: Indicate with an (x) defecdve items 0*: (ExpWn in Detafg <br />Brake Fluid Leaks <br />- _ Light On: - Hot Engate/Water Leaks <br />Soft/Hard Brakes Not Applied _ Low OWOU Leaks <br />- Puff Puff to L/R - Light On: _ Starts Hard <br />- Dragging 8rakas Applied, _ No PowerfEng. Ck. Light <br />- Smoking Bus Stopped _ Smokes <br />_ Emergency Brake Light Not On: _ tdtes RoughVibration <br />- Cow - wpwn Brakes Applied, _ Exhaust, Vacuum Leaks <br />T u-s4- f-MS Bus Moving _ Fuel Leaks/LPGIGas <br />Fiat A NSA - OVW - <br />Embedded Oblecl _ Off T"NSM ISSfdv <br />_ Cut _ Too CokvHot _ Wont Go into Gear <br />_ Smooth/Cord _ Defroster Defect _ Slips/Grinds lurches <br />_ Lr RF RR, RRO LRr LRG _ VentdaUori (Bk?werS) _ Excessive Nonce <br />_ Loose Missing Lugs _ Francs _ Leaks <br />_ cote - applairt _ C)OW• expku _ Drive Line Vustion <br />L rXfS EXTRANC& xtrDOORSr ..- Rear End Noise <br />_ Interior WWOOyS STEEt4ING <br />_ Exterior _ Slow _ Har"inds <br />_ LOOabon _ Inoperattve _ Shimmy <br /> _ Leaks Air _ Excessive Play <br />t Nf2=K CLEANLMPESS - Excessive Play - Other - <br />Intenor -00W ' min <br />_ <br />Exterior - Emergency Rell aces _ Generator/Starter <br />_ Floor WtiEELMom L FT _ Turn Signsts/Fiashers <br />Wrvlows <br />- _ Will Not Fold Out Hom <br />Seat Condition _ Will Not Lower/Raise Fare Bo, <br />:xplain _ No Resbant DwevUp _ InsWVmen WGattges <br /> _ Lift Will Not Fold Into _ Fuel. OR, Amp X%ter <br /> Bus <br /> <br />zaDto _ Seats _ Nandraits _ Mooesty Panels <br />tJUUY DAMACit: <br />Circle and describe any damage to a bus on d,agrarr <br />of frontirear and two side views <br />0 <br />E =T1 <br />LIIJLI <br />MOM <br />Description. <br />Description: <br /> <br />Description <br />..r <br />Description: <br />OPERATOR(S): <br />IMPORTANT! Help expedite repairs by providing necessary <br />information regarding defects' Please print. <br />REPAIRS MADE: <br />ALL ITEMS COMPLETED - BUS SERVICED AND RELEASED: <br />Supervisor's Signature Date <br />25J-15
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