Inspection Form
   
 
Combine Cutting Platforms
DEALERSHIP INFORMATION MACHINE INFORMATION
Dealership:
SCHMIDT IMPLEMENT CO., INC.
Manufacturer
John Deere
Dealer Number:
83860
Model
622F
Location:
8841 ANTIOCH ROAD, SALEM
WI
Year
2005
Telephone:
262-843-2326
Serial No./PIN
H006225710544
Paint Quality:
Like New 
Standard Equipment that is Damaged or Missing:
 
A. Power Train:
Housings, Seals & Bearings: OK
Comments:
B. Miscellaneous:
Chassis, frame, weights & hardware: OK
Comments:
Sheet Metal & Paint Condition & Appearance: OK
Comments:
C. Frame & Transport Components:
Main Frame: OK
Comments:
D. Safety Equipment:
Oil or Grease Leaks: OK
Comments:
All safety shields, covers & shrouds: OK
Comments:
SMV, Safety Decals & Warning Devices: OK
Comments:
Overall Machine Rating:
(1 - 10)
1 = Non Functional, Scrap Only
5 = Average Condition, repairs may be needed
10 = As New

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Examined By:
Date: