Build Document Entry System Detail Build Document System Detail Build Document Document Type * System Detail Build Doc Transport Doc Date * Customer Name * LT Quote Number * LT System Number * Contact Name * Contact Name First Name First Name Last Name Last Name Contact Phone * Contact Email * Area of System Operation System Type * LM-100LM-300LM-400LM-100MLM-100 to LM-300 UpgradeLM-100 to LM-400 UpgradeLM-300 to LM-400 UpgradeLM-75 to LM-100 UpgradeOther System Type Chasis Platform Type * Pickup TruckFull Size StriperOther Chasis Platform Type Carriage Option * Dual (Both Sides)Single Left (Drivers Side)Single Right Passenger Side) Drive System * PTOPony MotorElectric Paint System * Aerosol (Rattle-Can)High Pressure Airless – 2 Color Dual Carriage Paint System 2×5 galHigh Pressure Airless – 2 Color Dual Carriage w/ Bead Tanks 2×30 galLow Pressure Paint Pot Layout – 1 Color 10 galLow Pressure Paint Pot Layout – 1 Color 5 galLow Pressure Paint Pot Layout – 2 Color 2×10 galLow Pressure Paint Pot Layout – 2 Color 2×5 gal Pattern Automation System * N/APAS Left (Drivers Side)PAS Right (Passenger Side)PAS Dual (Both Sides) Low Profile Arrow Board * NoYes Laser Pointer * N/ALeft Side (Drivers Side)Right Side (Passenger Side)Dual (Both Sides) System Color WhiteYellowOrangeBlackRedBlueCustom Color System Color Timing System * Skip Line MST-14 (Pickup Standard)Skip Line SC-12EpicLimnTechOther Timing System Customer Vehicle ID Chasis Provision * LT Ford 350 DieselLT Ford 350 GasolineCustomer ProvidedManufacturer ProvidedOEM Program (Assy by OEM) Chassis Year Chassis Make Chassis Model Chassis Trim Package Chassis VIN Carriage Stroke Length (Centerline) * 48" (Pickup Standard)60"Other Carriage Stroke Length (Centerline) Carriage Stroke Length (Edge Line) * 48" (Pickup Standard)60"Other Carriage Stroke Length (Edge Line) Est/Req Chassis Delivery Date LT Initial Target Completion Date * Pavement Marking Truck Mfg MRLCoreMBEZ-LinerHSEHogOther Pavement Marking Truck Mfg Paint Truck Mfg Identification Three Gun Processing NoYes Centerline # Dedicated White Guns 123N/A Centerline # Dedicated Yellow Guns 123N/A Edgeline # Dedicated White Guns 123N/A Centerline # Dedicated Black Guns N/A12 Edgeline # Dedicated Black Guns N/A12 3-D Model Available from OEM YesNoN/A Mfg/Eng OEM Contact Mfg/Eng OEM Contact First Name First Name Last Name Last Name Mfg/Eng OEM Contact Phone Mfg/Eng OEM Contact Email Initial OEM Completion Target Date Phase 1 – Hydraulic & Cabling Kits Target Date Phase 2 – Final Build Kit Target Date Should Match LT Initial Target Completion Date Customer Special Requests Submitted by... Transport Information Transport CompanyText Transport Company Phone Driver Name Driver Name First Name First Name Last Name Last Name Driver Phone FOB Terms FOB DestinationFOB Origination Transport Arranged By CustomerLimnTechOther Transport Arranged By BOL Number Pickup Date Pickup Time 121234567891011 : 0030 AMPM Estimated Delivery Date Delivery Destination Address Delivery Destination Address Delivery Destination Address Delivery Destination Address City City State/Province State/Province Zip/Postal Zip/Postal Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Released in Good Apparent Condition (Exterior body condition / Mounted equipment condition / Glass / mirrors / lights Tires / wheels) Yes No See Notes Visible Damage Noted Yes No See Notes Photos Taken Yes No Keys / Fobs Released Yes No Loose Items / Accessories Included Yes No See Notes Additional Shipping Notes Driver Signature LT Release Personnel LT Release Signature Submit Save Draft If you are human, leave this field blank.
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