Please give the dates and mileage when your vehicle was last serviced or repaired You may want to ask for a copy of this Repair History for your personal repair records.
Last Oil Change
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Date:____________________ Mileage_________________________ |
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Weight: |
¨ 30 |
¨ 40 |
¨ 5/20 |
¨ 5/30 |
¨ 10/30 |
¨ 10/40 |
¨ 20/50 |
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Was Oil Filter changed? |
¨ Yes |
¨ No |
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Last Tune Up
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Date:_____________________ Mileage_________________________ |
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Components: |
¨ Plugs |
¨ Wires |
¨ Cap |
¨ Rotor |
¨ PCV |
¨ Timing Belt |
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¨ Air Filter |
¨ Fuel Filter a EVAP Canister Filter |
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¨ Oxygen Sensor |
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Other Services Performed
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Date:____________________ Mileage________________________ |
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¨ Air Conditioning |
¨ Transmission |
¨ Cooling System |
¨ Brakes |
Air Conditioning
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Date:____________________ Mileage__________________________ |
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Equipment |
¨ Original (Factory) |
¨ Add-on (Aftermarket) |
¨ Replaced |
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Components Replaced: |
¨ Compressor |
¨ Evaporator |
¨ Condenser |
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¨ Drier |
¨ Expansion Valve |
¨ Hoses |
¨ Other |
Brakes
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Date:_____________________ Mileage___________________________ |
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¨ Inspected |
¨ Serviced (Pads or Shoes) |
¨ Front |
¨ Rear |
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Parts Replaced: |
¨ Calipers |
¨ Wheel Cylinders |
¨ Master Cylinder |
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¨ Rotors/Drums |
¨ Lines/Hoses |
¨ ABS Components |
¨ Hardware |
Cooling System
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Date:______________________ Mileage____________________________ |
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¨ System Flush |
¨ Radiator Repair |
¨ Boil out |
¨ Replacement |
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¨ Thermostat Replacement |
¨ Belt Replacement |
¨ Water Pump |
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Starting and Charging
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Date:______________________ Mileage___________________ |
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¨ Battery |
¨ Alternator |
¨ Regulator |
¨ Starter |
¨ Other |
Timing Belt Replacement
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Date:_____________________ Mileage__________________ |
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Reason: |
¨ Scheduled Maintenance |
¨ Broken |
¨ Other |
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Engine
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Date:_______________________Mileage__________________________ |
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¨ Original |
¨ Rebuilt |
¨ Replaced |
¨ New |
¨ Used |
¨ Unknown |
Transmission
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Date:_______________________ Mileage__________________________ |
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¨ Original |
¨ Rebuilt |
¨ Replaced |
¨ New |
¨ Used |
¨ Unknown |
Differential
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Date:_______________________ Mileage__________________________ |
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¨ Original |
¨ Rebuilt |
¨ Replaced |
¨ New |
¨ Used |
¨ Unknown |
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Fuel System |
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Date:____________________Mileage___ |
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Carbureted |
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Carburetor |
¨ Original |
¨ Rebuilt |
¨ Replaced |
¨ New |
¨ Used |
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¨ Fuel Pump |
¨ Lines/Hoses |
¨ Control Solenoids |
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Fuel Injected |
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¨ Injectors |
¨ Fuel Pump |
¨ Fuel Rail |
¨ Fuel lines/Hoses |
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Ignition System
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Date:________________________ Mileage___________________________ |
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Distributor |
¨ New |
¨ Used |
¨ Rebuilt 1 |
¨ Unknown |
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¨ Coil |
¨ Module |
¨ Pickup Coil |
¨ Ignitor |
¨ Other______________ |
Computer Control System
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Date:________________________ Mileage________________________ |
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¨ Engine Control Module |
¨ Temperature Sensor (Air/Coolant) |
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¨ Throttle Position Sensor |
¨ Air Flow Sensor |
¨ Oxygen Sensor |
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¨ Manifold Absolute Pressure Sensor |
¨ Wiring |
¨ Other_______ |