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- CORPORATESAMPLE-0000000001
 

Vehicle Report

Provided Information

Adjuster's Name
John
 
Requester's contact phone number
555-555-1234
 
Requester's email address
sample@oneguardinspections.com
 
Warranty contract number
SAMPLE1234
 
Claim/Authorization number
5854-5654-22
 
Warranty contract start date/start mileage
05/09/2011 - 103682
 
Repair order number(If applicable)
80881
 
Repair order start date
08.04.2011
 
Client's Name
Jane Doe
 
Vehicle Year
2005
 
Vehicle Make
Nissan
 
Vehicle Model
Maxima
 
Vehicle's VIN #
ABCD12345kjlh
 
Vehicle's mileage
107557
 
Repair facility contact phone number
816 252 3838
 
Repair Facility's name
D&D AUTO SERVICE
 
Repair Facility's Address/City/State/Zip
1000 N. WILLIS, INDEPENDANCE, MO. 64050
 
Repair facility contact
David
 
Problem as Described by repair facility
DRIVEN IN- TRANSMISSION SLIPPING. FORWARD DRUMS ARE BURNT UP, TORQUE CONVERTER CONTAMINATED WITH METAL FROM THE CLUTCHES. REBUILD TRANSMISSION
 
Additional Information Requested
N/A
 
Details
N/A
 
Repair Facility's Cause of Failure
FORWARD DRUMS ARE BURNT UP, TORQUE CONVERTER CONTAMINATED WITH METAL FROM THE CLUTCHES
 

Inspectors Report

 
Date of Inspection
08.16.2011
 
Verified vehicle mileage
107557
 
Verified VIN
ABCD12345kjlh
 
Verified Year/Make/Model
2005 Nissan Maxima
 
Model Type
Sedan
 
Engine Size
3.5 L V-6 DOHC
 
Engine Type
EFI
 
Engine Type
V
 
Transmission Code Number
RE5F22A
 
Automatic or Manual?
Automatic
 
Drive Type
Front wheel
 
Vehicle's condition
Good
 
OEM Tire size
Unknown; Placard is Missing
 
Actual Tire size and tread
225/55R17
 
Signs of Abuse?
No
 
Signs of Collision?
No
 
Signs of Modifications?
No
 
Signs of Commercial use?
No
 
Oil level
Full
 
Oil condition
Dirty
 
Evidence of Intermix?
No
 
Engine Oil Leaks?
No
 
Condition of belts and hoses
Good
 
Condition of radiator
Good
 
Condition of Reservoir
Full
 
Evidence of Rust?
No
 
Leaks in Radiator?
No
 
Level of Coolant?
Full
 
Condition of Coolant?
Clean
 
Condition of freeze plug?
N/A
 
Evidence of overheat?
No
 
Evidence of Discoloration?
Yes
Rear of torque converter
 
Level of transmission fluid?
Drained
 
Condition of transmission fluid?
Burnt
 
Evidence of Metal?
Yes
Some small particles present inside filter.
 
Evidence of intermix?
No
 
Leaks in Transmission?
No
 
Drive Axle Fluid level
N/A
 
Condition of Drive Axle fluid?
N/A
 
State of Assembly?
Transmission removed and disassembled prior to my arrival.
 
Does it appear the failure existed at mileage of sale?
No
 
Failure of seal or gasket?
No
 
Lack of fluid or lubricant?
No
 
Did the operator protect?
Unknown
 
Additional information about inspection
 
 
Extent of Damage
I verified the residual fluid is dark brown in color with moderate burnt odor: some metal debris is present inside filter - no magnet was present - the final drive side bearings and races have moderate scoring - direct clutches are lightly burnt, steels appear normal - torque converter has heat discoloration at hub area - intermediate band is lightly burnt and forward drum is lightly scored - all other parts appear normal for time and miles - no external leak traces, no physical damage, no evidence of abuse.
 
Inspector's cause of failure
Damage results from material failure of the torque converter with subsequent damage to intermediate band, direct clutches, and final drive side bearings from metal debris distribution through fluid.
 
Inspector's recommended repair(Only repairs needed)
Repair or replace transmission.
 
Repair facility's labor rate
$85.00
 
Labor rate, posted or verbal?
Verbal
 

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