Transcription of Registered Owner's Name Plate Number Address …
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Registered Owner's Name Plate Number Address …
P=PASS F=FAIL NA=Not ApplicableVSSROI2018 Page 1 of 4 The original record of inspection must be given to the customer regardless of whether the vehicle passes or vehicle record OF inspection trailer , SEMI- trailer , C-DOLLY, CONVERTER DOLLYUnit NumberAddressPostal CodePhone NumberMakeModelYearOdometer vehicle InformationpsiDrums/RotorsLinings/PadsPu sh Rod TravelmmLEFTFRONTRIGHTD rums/RotorsLinings/PadsPush Rod TravelDrums/RotorsLinings/PadsPush Rod TravelDrums/RotorsLinings/PadsPush Rod TravelDrums/RotorsLinings/PadsPush Rod Travelpsimmpsipsimmpsipsimmpsimmmmmmpsim mpsimmpsimmpsipsimmpsipsipsimmmmmmpsimmP ark Brake LiningWheel Torque CheckedLeftmmRightmmTransmmInnerft lbsOuterft lbs Type of vehicle Gross vehicle Weight Registered psimmpsimmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmpsimmpsimmRegistered Owner's Name Plate NumbermmDrums/RotorsmmmmLinings/Padsmmmm Push Rod TravelmmpsipsimmmmpsipsimmmmDrum Brakes:Disc Brakes.
vssroi2018 p=pass f=fail na=not applicable page 2 of 4 commercial vehicle record of inspection trailer, semi-trailer, c-dolly, converter dolly
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