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Web annual periodic vehicle inspection report name and address of inspecting company or agency registered owner’s name date time street certified inspector’s name (print or type) city, state, zip code motor carrier operating vehicle (if different from owner) street Show details we are not affiliated with any brand or entity on this form. Understands the inspection criteria set forth in part 393 and appendix g and can identify defective components Web driver’s vehicle inspection report check any defective item and give details under “remarks.” date:
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