Order Information
Client
LIBERTY MUTUAL/SAFECO PERSONAL LINES
Claim ID
045220301-0001
Order Date
4/2/2021 2:45:10 PM
Inspector
BW101
Contract Number
AOV25199271075
Insured Party
ALEXIS TRAMMELL
Vehicle Year
2014
Vehicle Make
CADILLAC
Vehicle Model
SRX
Vehicle VIN Number
3GYFNAE36ES683952
Vehicle Mileage
UNK
Inspection Location
Name
MIDAS
Address
9951 BRAINERD RD
City
CHATTANOOGA
State, Zip
TN, 37421
Phone
4236680531
Contact(s)
JAY
Adjuster Name
ERNEST HINDS
Extension
4105680612
Email
ERNEST.HINDS@LIBERTYMUTUAL.COM; RYAN.DEPORZIO@SAFECO.COM
Reason For Inspection
CUSTOMER ADVISES THAT VEHICLE BROKE DOWN WHILE DRIVING AND WON'T TAKE ANY GAS. SHOP ADVISES THERE IS A BAD PURGE VALVE BUT ALSO SOMETHING IN THE TANK THAT SHOULD NOT BE THERE. PLEASE INSPECT, TAKE FUEL SAMPLE AND SEND TO ARMSTRONG LABS. SHIPPING KIT WILL BE SEND TO THE INSPECTOR. (PLEASE UPLOAD PHOTO OF TRACKING NUMBER WHEN THE KIT IS SENT BY FEDEX OR UPS). ALSO, VERIFY THE OBJECT/CONTAMINANT IN THE TANK IF POSSIBLE AND WRITE IN THE REPORT. NO REPAIR RECOMMENDATIONS NECESSARY. PLEASE TAKE ANY ADDITIONAL PERTINENT PHOTOS (AS WELL AS 4 CORNERS, VIN, ODOMETER, LICENSE PLATE) AND NOTE ANY DAMAGES TO VEHICLE (COSMETIC OR MECHANICAL). THANK YOU.
Report Information
Location Contact
JAY
Contact Title
JAY
Inspection Date
4/5/2021 10:00:00 AM
Vehicle Year
2014
Vehicle Make
CADILLAC
Vehicle Model
SRX<
Current VIN Number
3GYFNAE36ES683952
Vehicle Production Date
06/14
Current Mileage
141774
Vehicle Mileage Originally Submitted as
UNK
Vehicle Trim
Labor Rate / Type
114.0000
PROVIDED VERBALLY
Engine Type
3.6
Engine Emissions
FEDERAL
Transmission / Model
AUTOMATIC
Wheel Drive Type
FRONT WHEEL DRIVE (FWD)
Vehicle Plate #
6V81G9 TN
Engine Oil Level
Full
Engine Oil Condition
Good
Coolant Level
Full
Coolant Condition
Good
Transmission Level
N/A
Transmission Condition
N/A
Power Steering Level
N/A
Power Steering Condition
N/A
Brake fluid Level
Full
Brake Fluid Condition
Good
Front Differential Fluid Level
N/A
Front Differential Fluid Condition
N/A
Rear Differential Fluid Level
N/A
Rear Differential Fluid Condition
N/A
Transfer Case Level
N/A
Transfer Case Condition
N/A
Oil Filter Brand
AFTERMARKET
Sample Taken
Y
Sample Type
GAS
Miscellaneous Comments
VERIFIED VEHICLE READY FOR INSPECTION WITH JAY
Commercial Use
NO
Signage
NO
Modifications
NO
Collision
NO
Tow Hitch
NO
Towed or Driven In
TOWED
Belts
OLD/GOOD
Hoses
OLD/GOOD
Tire Size
235/65/18
Factory Tire Size
235/65/18
Overall Condition
AVERAGE FOR TIME AND MILES
Customer Complaint, Date Opened, Shop Name on Repair Order
NO COMPLAINT ON RO
3/31/21
MIDAS
Facility Repair Order
121723
State of Assembly (be specific)
FULLY
Related Recalls, TSB's, or Service History
Failed Components and Extent of Damage
THERE WAS A WHITE SUBSTANCE PRESENT IN THE GAS FILLER NECK. THE TECHNICIAN REMOVED FUEL FOR A FUEL SAMPLE FROM THE FUEL RAIL. THE FUEL TANK WAS INACCESSIBLE DUE TO ROLLOVER CHECK VALVE IN THE VENT TUBE AND THEFT DETERRENT IN THE FILLER NECK. THERE DOES APPEAR TO BE A FOREIGN SUBSTANCE PRESENT IN THE FUEL.
Measurements
Cause of failure
DAMAGED SAME WOULD BE CONSISTENT WITH FOREIGN SUBSTANCE PRESENT IN THE FUEL CAUSING A NO-START CONDITION
Recommendations for Repair
NO RECOMMENDATION FOR REPAIR AT THIS TIME
Images
REPAIR ORDER
REPAIR ORDER
REPAIR ORDER
REPAIR ORDER
UNDERCARRIAGE
FUEL FILLER LINE
FUEL FILLER NECK
UNDERCARRIAGE
TIRE SIZE
FUEL FILL AREA
FUEL FILL NECK
FUEL CAP
EMISSION PLACARD
VEHICLE
ENGINE COMPARTMENT
VEHICLE
VIN
ODOMETER
LOF
VIN
TIRE SIZE PLACARD
VEHICLE
VEHICLE
VEHICLE
VEHICLE
TRACKING NUMBER
