PT.

ROCKSTONE MINING INDONESIA

EQUIPMENT CONDITION DELIVERY

No : ENGINE MODEL :
UNIT MODEL : ENGINE S/N :
S/N or VIN : SMU or KM :
CODE UNIT :

No Description Condition Qty Remarks Accessories and others

1 Battery Vehicle Documents :
2 Alternator - STNK :
3 Starting Motor - KIR :
4 Fuel Injection Pump
5 Turbocharger
6 Radiator Accessories :
7 Head / Working Lamp
8 Brake Lamp
9 Reverse Lamp
10 Turn Signal Lamp
11 Horn
12 Mirror
13 Body
14 Glass Window, Front, Rear Others :
15 Wipper
16 Back Buzzer
17 Radio Antenna
18 Dashboard
19 Starting Switch
20 Smoke Lighter
21 Cabin Lamp
22 Operator Seat and Seat Belt
23 Tire and Rim
24 Spare Tire
25 Jack and tools
26 Rotary Lamp and Strobe
27 Air Conditioner

No Component / Item Fluid Level / Capacity *

1 Engine Oil Level L H
2 Transmission Oil Level L H
3 Steering Oil Level L H
4 Differential Oil Level L H
5 Brake Oil Level L H
6 Fuel L H
* please fill with actual level condition
Kendari, __________________2017
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