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Valid Vehicle Service: County Year of Mfg Make/Mfg Unit Call No. Odometer Reading Type/Model Date: License Tag No. Permit No. VIN Please Mark P PASS F FAIL on each item below PLEASE DESCRIBE QUESTIONABLE OR FAILED ITEMS by Reference Number TIRES P F Wheels P F HVAC P F STEERING 1.Size/Type 12.Rims/Size 22. Cool Air/Heat 34.Linkage Play 35.Free Turning 2. Tread depth (min.4/32 ) 13.Deformity FUEL SYSTEM P F 36.Alignment (Toe-in) 3. Condition/Damage BRAKES P F 25. Fuel Pump 4.

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