WEEKLY SPECIALS

Date ______________ Customer Name _______________________________________________________________________ RO # ______________

Year ___________ Make ______________________________________________________ Model ___________________________________________

Mileage ___________________ Tire Size __________________________________________ Rated __________________________________________

Checked And O.K.

May Require Future Attention

Requires Immediate Attention

LEFT FRONT TIRE

LEFT REAR TIRE

RIGHT REAR TIRE

RIGHT FRONT TIRE

TREAD DEPTH______/32

FLUIDS LEVELS

BELT - HOSES - FILTER - COOLING - WIPERS - LAMPS - BATTERY

ENGINE OIL EMPTY / HALF / FULL

HEADLAMPS GOOD / REPLACE

COOLANT EMPTY / HALF / FULL

TAIL LAMPS GOOD / REPLACE

WIPER WASHER FLUID EMPTY / HALF / FULL

PARKING LAMPS GOOD / REPLACE

POWER STEERING EMPTY / HALF / FULL

TURN SIGNALS LAMPS GOOD / REPLACE

TRANSMISSION EMPTY / HALF / FULL

BRAKE FLUID EMPTY / HALF / FULL

BATTERY Notes:

BRAKES SYSTEM

WIPER BLADES Notes:

LEFT FRONT BRAKES MM FULL / HALF / REPLACE

HOSES Notes:

RIGHT FRONT BRAKES MM FULL / HALF / REPLACE

AIR FILTER Notes:

LEFT REAR BRAKES MM FULL / HALF / REPLACE

SERPENTINE BELT Notes:

RIGHT REAR BRAKES MM FULL / HALF / REPLACE

STEERING COMPONENTS Notes :

Check Up Performed By: ___________________________________ Date : ____________________