Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • OD 3

  • Diesel Oty (Ltr.)

  • al *

  • L Cp

  • Any leakages Mo

  • PNA Meter On/Off Bre

  • All lights & Indicator

  • Current 0 M / Warranty — Books

  • Form 22 / Eway bill

Driver Name / men: Labs A ( OHI_ Mode of Transport: (22

  • Mo.No. Lic. No

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