Delivery Inspection Form
Lessee / Company Name
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Delivery Date
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Address
Job Site Street Address
Job Site City
Job Site State
Job Site Postal Code
Trailer #
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Select a Trailer
Items Included in Trailer Rental
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12,000 BTU Della Mini Split
18,000 BTU Della Mini Split
30A Extension Cord - 10'
30A Extension Cord - 25'
30A Extension Cord - 50'
50A Extension Cord - 10'
50A Extension Cord - 25'
50A Extension Cord - 50'
50A Extension Cord Splitter Adapter
4 to 3 Prong Cord Adapter
Butcher Block Countertop in V-Nose
Bench (Set of 1)
Bench (Set of 2)
Bench (Set of 3)
Chairs (Set of 4)
Chairs (Set of 6)
Chairs (Set of 8)
Chairs (Set of 10)
Copper Grounding Rod - (8ft)
Copper Grounding Wire
Corner Stabilizer Jacks (Set of 2)
Corner Stabilizer Jacks (Set of 4)
Evaporative Cooling Unit
Eye Wash Station
Fire Extinguisher (Large)
Fire Extinguisher (Small)
First Aid Kit
Generator - Predator 11,500 Watt
Mini Fridge
Microwave
Lockers (Set of 1)
Lockers (Set of 2)
Ratchet Straps (Set of 2)
Starlink Internet
Table 72" x 24"
Trailer Jack Blocks (Set of 3)
Trailer Jack Blocks (Set of 5)
TV - 55"
TV - 65"
Water Tank
Wheel Chocks (Set of 2)
Wrench (Manual Crank for Stabilizer Jacks)
All Included Options on Trailer Rental Demonstrated in Good Working Condition?
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Any Pre-Existing Damage (If YES, describe here)
Lessee Briefed on Stabilizer Jack(s) Deployment & Front Jack Deployment
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Lessee Confirmation: No Occupancy in Trailer Until Trailer is Level / Stabilized
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Trailer Rental Dropoff Photo #1 Upload
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Trailer Rental Dropoff Photo #2 Upload
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Trailer Rental Dropoff Photo #3 Upload
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Trailer Rental Dropoff Photo #4 Upload
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Trailer Rental Dropoff Photo #5 Upload
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Trailer Rental Dropoff Photo #6 Upload
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Inspection Conducted with Both (Lessee & Lessor) Reps Present
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Freez Bros Representative Name
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Freez Bros Representative Signature
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Clear
Lessee Representative Name
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Lessee Representative Signature
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Clear
Submit
Freez Bros Rentals