Vehicle Damaged? Yes

Fuel Level Adjusted? Yes

Missing Items? No

Event: Test Event

F/E Yes

B/E Yes

VIN: 4S3BMHB68B3286050
Ext Color: Blue[Sky Blue Metallic]
Odometer Front-End: 10
Odometer Back-End: 12
Stock# TEST
Model: Legacy
Body Style: 3 Door Car
F/E Fuel Level: 1/2
# Keys: 2
B/E Fuel Level: 3/8
# Fobs: 2

Added or Removed Items

Antenna: Removed
Floor Matts - Carpet: Remained
Floor Matts - Rubber: Removed
Knobs: Remained
Shift Knob: Removed
Owners Manual: Remained
Cup Holder Inserts: Removed
Headphones: Remained
DVD Remote: Removed
SD Nav Card: Remained
Charge Cord: Removed
Front License Bracket: Remained
Bed Liner: Yes
Bed Liner Type: Spray
Spare Tire: Removed
Tire Jack: Remained
Loose Tools, Hook: Removed
First Aid Kit: Remained
Air Compressor: Removed
Tow Hitch Cap: Remained
Cargo Shade: Removed
Cargo Net: Remained
Cargo Management System: Removed
Cargo Mat Carpet: Remained
Cargo Mat Rubber: Removed
Items Bagged/Stored Pre-Show: Yes

Installed Uplift Items

Missing Uplift Items

Additional Comments:

Damage Photos

Damage Area

Severity

Blue[Sky Blue Metallic] 2011 Subaru Legacy Bumper Guard/Strip in Orange CA
Bumper Guard/Strip

Cut
Over 3" /up to and including 6"

Blue[Sky Blue Metallic] 2011 Subaru Legacy Cargo Area in Orange CA
Cargo Area

Chipped (Except glass-Panel edge)
Over 12"

Frontend Inspection Date: 2024-01-20
Frontend Inspector's Name: Tester
Backend Inspection Date: 2024-01-21
Backend Inspector's Name: Tester2
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: