1.

MANAGEMENT CODE/ LIN/TAMCN

LIMITED TECHNICAL INSPECTION - MOTOR VEHICLE C355
2. NSN 3. ASSET ID 4. MILEAGE/KILOMETER/HOURS
1740-01-468-5158 01C00061 235
5. NOMENCLATURE 6. MANUFACTURER 7. MODEL
TRACTOR,WHEELED,AIRC FORD TV350
8. SERIAL NUMBER 9. TYPE INSPECTION ACCEPTANCE CONDITION RECEIVING
1FDSF34F11EB93699 DEPOT REBUILD SHIPPING

"X" ONE
R R
ITEM E E NO. MAN-
P P COST OF REMARKS
A L HOURS PARTS
I A (Indicate item(s) requiring service. If part is replaced because original is missing, show as:
C LABOR
R Alternator (missing))
E

10. FRAME

11. BODY

12. GLASS

13. PAINT

14. UPHOLSTERY

15. WIPER MOTOR

ARMS, BLADES

16. MIRRORS,
HORN

17. LIGHTS

18. SIREN BEACON

RAY, FLOOD

19. GAGES,
INDICATORS

20. ENGINE

COMPRESSION TEST

CYLINDERS 1 2 3 4 5 6 7 8
WET
DRY
21. SPEEDOMETER,
TACHOMETER,
HOURMETER
22. HEATER, AIR
COND

23. BATTERY

24. CHARGING
SYSTEM
25. STARTING
SYSTEM
26. IGNITION
SYSTEM

27. FUEL SYSTEM

28. COOLING
SYSTEM
29. EXHAUST
SYSTEM
30. EXHAUST
EMISSION
HOSES
31. SERVICES
BRAKES
32. PARK/EMERG
BRAKES

33. CLUTCH

34. TRANSMISSION

SUBTOTAL

AFTO FORM 91, 20200901

Page 1 of 4
 "X" ONE
R R
E E NO. MAN-
ITEM P P COST OF REMARKS
A L HOURS PARTS
I A (Indicate item(s) requiring service. If part is replaced because original is missing, show as:
C LABOR
R Alternator (missing))
E
35. TRANSFER
CASE (s)

36. POWER
TAKE-OFF

37. STEERING
MANUAL/POWER
38. SUSPENSION
SPRINGS/SHOCKS

39. DRIVE LINE

U-JOINT

40. AXLES AND

HOUSING ASSY.

41. DIFFERENTIAL(s)
FINAL DRIVE (s)
42. TIRES, RIMS,
TRACKS
43. BOGIES,
TRUNIONS,
TORQUE ARMS
44. SPROCKETS,
ROLLERS, IDLERS

45. AUX ENGINE

46. FIFTH WHEEL

47. HYDRAULIC
SYSTEM
48. HYDRAULIC
CONTROLS

49. TANK AND

PIPING

50. LIQUID PUMP

51. HOSE REELS,

HOSE NOZZLES

52. AUX GENERATOR

53. BOOM ASSY.

SHEAVES, CABLES
54. SAFETY LIMIT
DEVICES
55. LANDING GEAR
ASSY.

56.

57.

58.

59.

SUBTOTAL

AFTO FORM 91, 20200901

Page 2 of 4
 "X" ONE
R R
E E NO. MAN-
ITEM P P COST OF REMARKS
A L HOURS PARTS
I A (Indicate item(s) requiring service. If part is replaced because original is missing, show as:
C LABOR
R Alternator (missing))
E

FIRE TRUCKS

*60. TURRENT SYS.

61. COOLANT SYS.

62. BATTERY
CHARGER
63. REF. UNIT/CO2
SYS 0-6

*64. FOAM CB SYS.

65.

66.

67.

68.

*Note: Only check pumping system (water and foam) after training is provided by OEM. The warranty does not start on new fire trucks until after training has been given. Failure of the pumping system
prior to training is at the government's risk/expense.

FUEL SERVICING UNIT

69. DRAINS

70. FILTERS

71. STATIC
GROUND SYS.

72. METERS/
PUMPING SYS.

73. SEGREGATORS

74. HOSE REEL

ASSY.

75. BASE MAINT

EQUIPMENT
76. MANHOLE
COVER AND VENTS
77. VALVES, AUTO/
MANUAL

78.

79.

MATERIALS HANDLING EQUIPMENT

80. CABLES, CHAINS,

HOSES

81. MOTORS, ELECT-

RICAL, HYDRAULIC

82. CONTROLS

83. CARRIAGE, FORKS,

MAST, CYLINDERS

84.

85.

86.

SUBTOTAL

AFTO FORM 91, 20200901

Page 3 of 4
 "X" ONE
R R
E E NO. MAN-
ITEM P P COST OF REMARKS
A L HOURS PARTS
I A (Indicate item(s) requiring service. If part is replaced because original is missing, show as:
C LABOR
R Alternator (missing))
E

87. AGITATOR

88. BITS AND

AUGERS

89. BOILER,BURNER,
AND BLOWERS
90. CANTILEVER
YOKE

91. CONTROLS AND

SWITCHES

92. CONVEYORS

93. DIPPER, CLAM,

BACKHOE

94. DRUMS

95. FAIRLEADS

96. GANTRY A-FRAME

97. HEATERS,FLUE,
AND STACKS

98. INTERCOOLERS,
AFTERCOOLERS

99. MOLDBOARD
CIRCLE SCARIFIER
100. SICKLE GUARDS
AND PITMAN

101. ROTOS AND

PADDLES
102. SPRAY BAR,
PIPING
103. TOOGLE
PLATES
104. PRESSURE
REGULATORS
105. APRON, BOWL,
TAILGATE
106. STEERING
BRAKES

107.

108.

113. INSTALLATION 114. DATE

SUBTOTAL
Eglin Air Force Base 20231030
REPAIR SUMMARY
COST FACTORS AMOUNT 115. SIGNATURE AND TITLE OF INSPECTOR
Digitally signed by GODINEZ.CESAR.1605276144
GODINEZ.CESAR.1605276144 Date: 2023.10.31 08:32:31 -05'00'
109. LABOR NO. HOURS HOURLY RATE

DIRECT 116. CERTIFICATION

110. MATERIAL ENTRIES WERE TRUE AND CORRECT AS OF DATE

111. TOTAL OF THESE REPAIRS DATE SHOWN AT RIGHT 20231031

112. REMARKS TYPED NAME, GRADE VFM/VMS
Joseph R. Endress, TSgt/E-6
ASSET WAS IN AN 054 F22
SIGNATURE OF VFM/VMS
SUPPORT TEMP AUTHORIZATION. ENDRESS.JOSEPH.RICHARD.1270242223 Digitally signed by ENDRESS.JOSEPH.RICHARD.1270242223
Date: 2023.10.31 10:27:07 -05'00'

ASSET IS NO LONGER NEEDED. VFM/VMS RECOMMENDATION

RDO RESALE DLA-DS

AFTO FORM 91, 20200901

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