NBHS Van Inspection Form

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Please check the following components. *

Needs Attention

Not Applicable

Windshield washer fluid reservoir

Engine oil filler cap

Automatic transmission fluid dipstick

Air filter assembly

Engine oil dipstick

Power steering fluid reservoir

Brake fluid reservoir

Engine coolant reservoir

Power distribution box

Battery

Please elaborate on any components that need attention.

-------While Operating your Vehicle-------

Any changes in the sound or smell of exhaust fumes? *

Yes

Any vibrations in the steering wheel? Is turning the steering wheel easier or harder than you remember? *

Yes

Is the vehicle pulling to one side while driving on a smooth, level road? *

Yes

When stopping, any unusual sounds, pulling to one side, or hard to push brake pedal? *

Yes

Any slipping or changes of the transmission? Car not changing gears properly ect. *

Yes

Is the parking brake operating properly? *

Yes

Do you see any fluids dripping from the vehicle? (Besides water dripping from the air conditioner) *

Yes

------------Vehicle Info------------

Tag Number *

Current Mileage *

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