Southwest Inspections

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Inspector Name:

*SWIS*

Order Information

Company Information:

Name:

Southwest

Phone:

480 998-4508

General Information:

Date Assigned:

Aug. 24th, 2001

Time Assigned:

11:03 AM PST

Claim Number:

12345

Policy Number:

5678

Adjuster Name:

Alan

Adjuster Extension:

Adjuster Email:

inspections@swautoinspections.com

Owner Information

Name:

Smith

Phone:

Vehicle Information

Vehicle Info:

98 Chev Blazer

Last 6 of VIN:

200996

Mileage:

50032

Facility Information:

Name:

Putnam Chevrolet Cadillac

Address:

198 California Dr.

City:

Burlingame

State:

Contact:

Bill

Phone:

6503429500

Reason For Inspection:

Verify internal engine knocking and noise

Special Request:

Inspection Information

General

Verbal Report Given To:

Alan

Labor Rate at RF:

75 and it was On Repair Order

Date Inspected:

Aug. 24th, 2001

Time Inspected:

12:00 PM Pacific

Vehicle Information

Reported Yr/Mk/Md:

98 Chev Blazer

Yr/Mk/Md:

98 Chevrolet Blazer

VIN:

1G1YY2385L5200996

Reported Mileage:

50032

Mileage:

50032

Engine Type:

4.3 L V-6

Oil Level:

Full

Engine Oil Condition:

Good

Oil Filter Name/Brand:

Fram

Oil Filter Condition:

Good

Coolant Level:

Full

Coolant Condition:

Good

Transmission:

Auotmatic 700 R4

Transmission Level:

Full

Trans Fluid Condition:

Good

Wheel Drive Type:

Rear Wheel Dr.

Differential Fluid Level:

N/A

Diff Fluid Condition:

N/A

Transfer Case Level:

N/A

T/Case Fluid Condition:

N/A

Power Steering Level:

Full

P/S Fluid Condition:

Good

Brake Fluid Level:

Full

Brake Fluid Condition:

Good

Hoses:

Old/Good

Belts:

Old/Worn

Air Filter Name/Brand:

Aftermarket

Air Filter Condition:

Fair

Comments:

Service History:

Complete history on file

Commercial Use:

Modifications:

Tow Hitch:

Yes

Tow Hitch Detail:

5000 pound receiver hitch

Towed Or Driven:

Came In As Early Bird

Overall Condition:

Good

Collision:

Recalls/TSB's:

None related

Repair Order #:

123456

Repair Order Date:

Aug. 1st, 2001

Customer Complaint:

Engine makes a loud noise

State of Assembly:

Engine was completely asseembled

Findings & Recommendations:

This is not a real claim. This report is being put together so you as an administrator can get an idea of what the report looks like when completed and available on the web. I appreciate you taking the time to look. If we can answer any questions or do an actual inspection for you please contact us by phone, e-mail or web site. You will need your own personal log on and password to actually order and inspection from me for the first time, so call me at 1-800-344-9545 and let us show you what we can do for you

Cause of Failure:

Thanks you.

Inspector:

Alan Fischenberg

Claim number: 12345

DONE