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    uber-vehicle-inspection-form (1)

    Uploaded by

    alerubbi
    uber inspection

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    uber-vehicle-inspection-form (1)

    Uploaded by

    alerubbi
    7 views1 page
    uber inspection

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

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    uber inspection

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    7 views1 page

    uber-vehicle-inspection-form (1)

    Uploaded by

    alerubbi
    uber inspection

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Vehicle Inspection

    TO BE COMPLETED BY VEHICLE OPERATOR ↓

    ROGER JAQUES ABADE


    _____________________________________________________________________________________________________________ (650) 960-5243
    _____________________________________________________________
    FULL NAME PHONE NUMBER

    INSPECTION POINTS

    HEADLIGHTS .......................................................... ◻ PASS ◻ FAIL REAR WINDOW & OTHER GLASS........................... ◻ PASS ◻ FAIL
    TAIL LIGHTS............................................................◻ PASS ◻ FAIL WINDSHIELD WIPERS.............................................◻ PASS ◻ FAIL

    TURN INDICATOR LIGHTS.....................................◻ PASS ◻ FAIL FRONT SEAT ADJUSTMENT...................................◻ PASS ◻ FAIL

    STOP LIGHTS...........................................................◻ PASS ◻ FAIL DOORS (Open/Close/Lock)………….....................◻ PASS ◻ FAIL

    FOOT BRAKES (Pads/Shoes thickness)…......◻ PASS ◻ FAIL HORN........................................................................◻ PASS ◻ FAIL

    EMERGENCY/PARKING BRAKE.............................◻ PASS ◻ FAIL SPEEDOMETER........................................................◻ PASS ◻ FAIL

    STEERING MECHANISM.........................................◻ PASS ◻ FAIL BUMPERS.................................................................◻ PASS ◻ FAIL

    WINDSHIELD...........................................................◻ PASS ◻ FAIL MUFFLER AND EXHAUST SYSTEM.......................◻ PASS ◻ FAIL

    SAFETY BELTS FOR DRIVERS & PASSENGERS....◻ PASS ◻ FAIL TIRES, INCL TREAD DEPTH....................................◻ PASS ◻ FAIL

    INTERIOR & EXTERIOR REAR VIEW MIRRORS....◻ PASS ◻ FAIL

    VEHICLE INSPECTION RESULTS (Inspector to circle)

    Any markings on the ‘FAIL’ side will automatically fail inspection

    PASS FAIL
    11/14/2024
    ____________
    Inspection Date

    TO BE COMPLETED BY INSPECTOR ↓

    59,252
    _______________________________ CA
    ___________________________ 9NTW089
    ________________________________
    2T1BURHE0JC977289
    _____________________________________________________________________
    VEHICLE MILEAGE LICENSE PLATE STATE LICENSE PLATE NUMBER VIN
    TOYOTA
    ________________________________________ COROLLA
    ________________________________________ 2018
    ____________________________ 4
    ___________________________________________________
    VEHICLE MAKE VEHICLE MODEL VEHICLE YEAR NUMBER OF DOORS
    YES
    _______________________________________________________________ 02/25
    __________________________________________________________________________________________________________
    HAS REGISTRATION STICKER? (YES/NO) REGISTRATION STICKER MONTH/YEAR (MM/YY)
    AUTO ZONE
    _______________________________________________________________ 1080 Brittan Ave, Los Angeles
    __________________________________________________________________________________________________________
    INSPECTOR COMPANY INSPECTOR ADDRESS

    DANIEL BECKER
    _______________________________________________________________ _________________________________________________________________ ARD271249
    ______________________________________
    INSPECTOR NAME INSPECTOR SIGNATURE STATE CERTIFICATION NUMBER

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