Information
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Cooperative Name:
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Conducted on
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Auditor Name:
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Trailer ID Number:
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License Number and Expiration Date:
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If Trailer is being Towed, Provide Driver Name:
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DOT Annual Inspection Sticker Date:
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Trailer Hitch
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Are Safety Chains in Good Condition:
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Is Reflective Safety Tape in Good Condition:
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Are Tires in Safe Condition:
Auditor Verification Signature
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Auditor Verification Signature:
