Title Page
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Conducted on
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Prepared by
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Location
Sample Vehicle Inspection - General Details
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License plate number
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Registration expiry date
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Transmission type
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Is the an energy effcient vehicle?
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Sample Vehicle Inspection - General Details
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License plate number
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Registration expiry date
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Transmission type
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Is the an energy effcient vehicle?
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What type of power does it use?
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Regular storage or parking location
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Photo of vehicle for verification
Sample Summary and Signoff
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Did the vehicle pass the inspection overall?
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Quick summary of major issues
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Name and signature of inspector
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