Adirondack Fire Equipment

Vehicle Information Form
Engine / Pumper

Customer: Fire Department / Owner:   Contact:
Daytime Phone:   Fax:   Email:
Address:
City:   State:   Zip:
Apparatus: Year:   Manufacturer:   Model:
Body Material:   Number of Cabinets:
Chassis: Make:   Model:
VIN #:   Mileage:
Height:   Width:   Length:   GVW:   Wheel Base:
Number of Axles:  Cab Type:   Cab Material:    Color:
Number of Occupants:   Number of Seats:   Number of SCBA Seats:   Number SCBA Holders:
Power Steering:   Brakes: Air   Hydraulic   Anti-lock   Air Conditioning   Under Coat:

Engine:

 Make:   Model:   Type:   Fuel:  Turbo:
Horsepower:   Number of Cylinders:    Hours:
Transmission: Make:   Model: Type:   Speeds:   Jake Brake:

Pump & Plumbing:

 Make:   Model:   GPM:   Stages:   Panel Location:
Last Pump Test:   Pump & Roll:   If so, Method (PTO etc.):
Water Tank Size:   Water Tank Material:  
Foam System:
Foam System (Make Model / GPM):   Foam Tank Material:
Foam Capacity:   CAFS?:   Piped to Which Discharges:
Intakes:
6" Suction:   Location:
2" Suction:   Location:
Discharges:
Deluge:   Size of Piping:
Number Large Diameter Discharge :   Locations:
Number 2 1/2" Discharge :   Locations:
Number 1 3/4" Cross-lay:
Number 2 1/2" Cross-lay:
Number 1 3/4" Speed-lay:
Number 2 1/2" Speed-lay:
Front Trash line:
Number 1 3/4" Rear Pre-connects:
Number 2 1/2" Rear pre-connects:
Number Boosters:   Locations:
Dump Valve Size and Location:

 
General Information: Special Features:

Equipment Included:

Repairs Needed:

Rust or Corrosion Areas:

Reason For Sale:

Date Available:

Asking Price:

Additional Comments: