Date: / / 2007

Year:_________________ Make:_________________ Model:_________________

Mileage___________

Inspection Due Date:_____/_____/_____ Registration Due Date:_____/_____/_____


Oil Level
Checked: ___ Added:____ Leaks?:____

Coolant Level
Checked: ___ Added:____ Leaks?:____

Windshield Washer Fluid
Checked: ___ Added:____ Leaks?:____

Transmission Fluid
Checked: ___ Added:____ Leaks?:____

Brake Fluid
Checked: ___ Added:____ Leaks?:____

Power Steering Fluid
Checked: ___ Added:____ Leaks?:____

Notes:__________________________________________________________________________

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Tire Pressure

Added:____ Leaks?:____ Bulges?:____ Damage?:____

Uneven Wear?: RT FT:___ LT FT:___ RT RR:___ LT RR:___

Current PSI Checks: RT FT:___ LT FT:___ RT RR:___ LT RR:___

Last PSI Checks: RT FT:___ LT FT:___ RT RR:___ LT RR:___

Notes:__________________________________________________________________________

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Lights Inspection
Headlights?:____ High Beams?:____ Brake Lights?:____

Turn Signals LT?:____ RT?:____ Emergency Flashers?:____

Notes:__________________________________________________________________________

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Belt Inspection
Checked:____ Worn?:____

Hose Inspection
Checked:____ Worn?:____

Air Filter
Checked?:____ Unable to Check?:____ Worn?:____

Notes:__________________________________________________________________________

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