Title Page

  • Inspection Month

  • License Plate

  • Vehicle Make/Model

  • Conducted on

  • Prepared by

  • Mileage

  • Condition of Tires

  • Windshield free of chips and cracks?

  • All lights in good working condition?

  • Fire Extinguisher Present?

  • Fire Extinguisher in good condition?

  • Fire Extinguisher has a full charge?

  • Fire Extinguisher inspection tag signed?

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