Vehicle Damaged? Yes
Fuel Level Adjusted? No
Missing Items? No
Event: LA Auto Show
F/E Yes
B/E Yes
VIN: 3GNKDERL3RS0140EX
Ext Color: Red
Odometer Front-End: 76
Odometer Back-End: 76
Stock# 15
Model: Blazer EV
Body Style: 4 Door Sport Utility
F/E Fuel Level: 3/8
# Keys: 1
B/E Fuel Level: 3/8
# Fobs: 1
Added or Removed Items
Antenna: Remained
Floor Matts - Carpet: Remained
Floor Matts - Rubber: N/A-Arrived w/o
Knobs: Remained
Shift Knob: Remained
Owners Manual: N/A-Arrived w/o
Cup Holder Inserts: Remained
Headphones: N/A-Arrived w/o
DVD Remote: N/A-Arrived w/o
SD Nav Card: N/A-Arrived w/o
Charge Cord: N/A-Arrived w/o
Front License Bracket: N/A-Arrived w/o
Bed Liner: No
Spare Tire: Remained
Tire Jack: Remained
Loose Tools, Hook: Remained
First Aid Kit: N/A-Arrived w/o
Air Compressor: N/A-Arrived w/o
Tow Hitch Cap: N/A-Arrived w/o
Cargo Shade: N/A-Arrived w/o
Cargo Net: N/A-Arrived w/o
Cargo Management System: N/A-Arrived w/o
Cargo Mat Carpet: N/A-Arrived w/o
Cargo Mat Rubber: N/A-Arrived w/o
Items Bagged/Stored Pre-Show: Yes
Added/Removed Items Notes: Tow hook, and vanity license plate only things removed
Installed Uplift Items
None
Missing Uplift Items
None
Additional Comments:
Center dashboard does not illuminate
Damage Photos
Damage Area
Severity
Fender LF Damage
Broken (Except glass)
Over 12"
Dash/Instrument Panel
Part,Option-Not as invoiced
Warranty Issue
Frontend Inspection Date: 2024-11-18
Frontend Inspector's Name: Mike Boesch
Backend Inspection Date: 2024-12-01
Backend Inspector's Name: Smiley Castaneda
Person receiving vehicle- Inspect vehicle before accepting possession. Take picture of any
additional damage found and note damage and any additional missing items not captured on
this form.
Vehicle Received by (Print Name):
Date Received: