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Truck #: —Please choose an option—8MAN28MAN38MAN48MANUNIT 10UNIT 20UNIT 30
Technician: —Please choose an option—ISIDRO VALADEZADOLFO DIVASJOSE CEDILLOSARMANDO ARREZOLANICK GAYOSODARLENE ARELLANOMARICELA PASCENCIAKARINA VELAZQUEZBRIAN SILVA
OFFICE SUPPLIES:
Ink Cartridges —Please choose an option—No Ink Cartridge12
Printer Paper —Please choose an option—No Paper1 Ream2 Reams3 Reams
Pens —Please choose an option—No Pens1 Box2 Boxes
Staples —Please choose an option—No Staples1 Box2 Boxes
Gloves —Please choose an option—No Gloves1 Box2 Boxes
Trash Bags —Please choose an option—No Trash Bags1 Trash Bag2 Trash Bag3 Trash Bags
Wipes —Please choose an option—No Wipes1 Can2 Cans3 Cans
Cleaning Supplies —Please choose an option—No Cleaning SuppliesYes
Push Buttons —Please choose an option—0123
Headphone Cables —Please choose an option—No Headphone Cables1 Headphone Cable2 Headphone Cables
Otoscope —Please choose an option—No Otoscope1 Otoscope
Tips —Please choose an option—No Tips100 to 200 Tips300 or more
Training Sheet —Please choose an option—No Training SheetsYes
Fuel —Please choose an option—FullHalfEmpty
Cones —Please choose an option—123
History Forms —Please choose an option—YesNo
Extension Cord —Please choose an option—Extension Cord DamageNeed Extension CordYes
Batteries —Please choose an option—1234
