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Proposer: <br />Maintenance Activity <br />Ability To Perform <br />Preventative Maintenance Schedule <br />❑ Yes <br />❑ No <br />Wheelchair Lift Maintenance Schedule <br />fi <br />❑ No <br />Front Brake Reli (Both Sides) <br />❑ Ye <br />❑ No <br />Front Brake Overhaul (Both Sides) <br />❑ Ye <br />❑ No <br />Brake Rotor Replacement (One Each) <br />❑ Yes <br />❑ No <br />Rear Brake Reline (Both Sides) <br />❑ Ye <br />El No <br />Rear Brake Overhaul (Both Sides) <br />❑ Yes <br />❑ No <br />Minor EVAC and Recharge R134 AC System <br />❑ Yes <br />❑ No <br />Alignment <br />El Yes <br />E] No <br />Battery Replacement <br />❑Yes <br />E] No <br />Fuel Injection Flush <br />[] Yes <br />❑ No <br />Alternator <br />❑ Ye <br />❑ No <br />Fuel Pump Module <br />❑Yes <br />El No <br />Window Motors <br />❑ Yes <br />❑ No <br />Shock Absorbers <br />❑Yes <br />El No <br />Transmission / Engine Oil Cooler Lines <br />❑Yes <br />❑ No <br />Tires <br />❑ Yes <br />❑ No <br />Towing Services <br />❑Yes <br />❑ No <br />Accident Repair / Body Work <br />❑ Yes <br />❑ No <br />This information is true and accurate to the best of my knowledge and ability. <br />Typed Name of Person Completing this Form: Rnq Q 7S_ <br />Title: \ ' ? res; A fon4 <br />1 <br />Signature: Date: <br />VRE 5 j 3/19/2010 <br />Attachment number 2 <br />F -5 Page 188 <br />