| Shop | Sample Auto Repair | RO # | 1042 |
|---|---|---|---|
| Date | 2026-11-04 | Tech | John Smith |
| Customer | Jane Doe | Vehicle | 2016 Honda Accord |
| VIN | 1HGCM00000A000000 | Mileage | 81234 |
| Item | G | Y | R | Note |
|---|---|---|---|---|
| Lights: head | X | |||
| Lights: brake | ||||
| Lights: turn | ||||
| Lights: reverse | ||||
| Wipers / washer | ||||
| Horn | ||||
| Tire LF tread (32nds) | ||||
| Tire RF tread (32nds) | ||||
| Tire LR tread (32nds) | ||||
| Tire RR tread (32nds) | ||||
| Tire pressure | ||||
| Tire wear pattern | ||||
| Brakes: pad/shoe front | X | 3mm front pads | ||
| Brakes: pad/shoe rear | ||||
| Rotors | ||||
| Brake fluid | ||||
| Fluid: oil | ||||
| Fluid: coolant | ||||
| Fluid: transmission | ||||
| Fluid: power steering | ||||
| Fluid: brake | ||||
| Fluid: washer | ||||
| Belts | ||||
| Hoses | ||||
| Battery test result | ||||
| Battery terminals | ||||
| Filter: engine air | ||||
| Filter: cabin | ||||
| Shocks / struts | ||||
| Ball joints | ||||
| Tie rods | ||||
| Exhaust | ||||
| Leaks | ||||
| CV boots / axles | ||||
| Dash warning lights |
Tech recommendations: Replace front pads soon. Tires green.
Customer signature / date
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