Information
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Unit Number
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City, ST /Store #
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Conducted on
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Prepared by
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Driver Name
Gauges
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Fuel Gauge
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Temperature Gauge
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Warning Lights
Lights
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Headlights
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Brake Lights
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Turn Signals
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Hazards Lights
Other
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Windshield Wipers
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Fans & Defroster
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Brakes (and Parking Brake)
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Mirrors
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Horn
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Backup Alarm
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Exhaust System
Tires
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Proper Inflation
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Legal Tread
Leaks (Under Vehicle)
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Oil
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Water
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Other
Safety Equipment
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Fire Extinguisher
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First Aid Kit
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Reflective Triangles
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Flares
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Spare Bulbs & Fuses
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Accident Kit
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Current Registration
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Current Insurance
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Seat Belts
Comments
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Tap to enter information
Tech Signature
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Print
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Sign
Vehicle Condition Following Inspection
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ACCEPTABLE: Vehicle can be driven without further inspection.
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REQUIRES ATTENTION: Vehicle can be driven but should be inspected by a mechanic.
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REQUIRES IMMEDIATE ATTENTION: Vehicle should NOT be driven until it has been inspected by a mechanic.
