Equipment Check Out Form Satellite Equipment Checkout Call SIgn*M11M14M16M17M18M26M41Fender number of ambulance10011002100310041005Crew Member 1 Crew Member 2 Please enter odometer reading at start of shift*Narcotics log signed by off going crew? Yes No By clicking a checkbox I acknowledge that I have accounted for the item specified. Narcotics Box Narcotics Box Ambulance keys Ignition Key 1 Key 2 Alpha pagers Alpha Pager 1 Alpha Pager 2 91 Pager 91 Pager 1 91 Pager 2 Handheld Radios Radio 1 Radio 2 Handheld Fire Radio Yes Surface tablet Yes Tablet Number MiFi Hotspot Yes AMRWIFI number Please explain any discrepancies
