Vehicle Damaged? Yes

Fuel Level Adjusted? No

Missing Items? Yes

Event: Texas state fair

F/E Yes

B/E Yes

VIN: 3GNKDCRJXRS105605
Ext Color: Blue[Riptide Blue Metallic]
Odometer Front-End: 3
Odometer Back-End: 321
Stock# R3
Model: Blazer EV
Body Style: 4 Door Sport Utility
F/E Fuel Level: Empty
# Keys: 1
B/E Fuel Level: Empty
# Fobs: 1

Added or Removed Items

Antenna: N/A-Arrived w/o
Floor Matts - Carpet: Remained
Floor Matts - Rubber: N/A-Arrived w/o
Knobs: N/A-Arrived w/o
Shift Knob: N/A-Arrived w/o
Owners Manual: N/A-Arrived w/o
Cup Holder Inserts: N/A-Arrived W/O
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: N/A-Arrived w/o
Tire Jack: N/A-Arrived w/o
Loose Tools, Hook: N/A-Arrived w/o
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: No
Added/Removed Items Notes: Na

Installed Uplift Items

Na

Missing Uplift Items

Na

Additional Comments:

Na

Damage Photos

Damage Area

Severity

Blue[Riptide Blue Metallic] 2024 Chevrolet Blazer EV Trim Panel/Front Left in Orange CA
Trim Panel/Front Left

Scuffed
Over 1" /up to and including 3"

Blue[Riptide Blue Metallic] 2024 Chevrolet Blazer EV Trim Panel/Front Right in Orange CA
Trim Panel/Front Right

Scuffed
Over 1" /up to and including 3"

Frontend Inspection Date: 2024-09-24
Frontend Inspector's Name: Susan
Backend Inspection Date: 2024-10-01
Backend Inspector's Name: Rick
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: