Title Page
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Inspection Month
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License Plate
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Vehicle Make/Model
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Conducted on
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Prepared by
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Mileage
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Condition of Tires
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Windshield free of chips and cracks?
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All lights in good working condition?
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Fire Extinguisher Present?
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Fire Extinguisher in good condition?
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Fire Extinguisher has a full charge?
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Fire Extinguisher inspection tag signed?