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M11
M14
M16
M17
M18
M26
M41
Fender number of ambulance
1001
1002
1003
1004
1005
Crew 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
