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X VIN #: X X X X X X X X X X X X X X X Expiration: / / Manufacturer: IEP: Manufacture Year: State Registered: X X X X Owner: X XX Remanufactured (Year): X X X X Size/Type (Circle One): 20-GEN 20-SLD 20-STD 40-EX5 40-EX8 40-GEN 40-SLD 40-STD 45-GEN 45-STD Other: All inspection criteria derived from FMCSA CFR49 Part 396 and Appendix G subpart B Component/System BRAKE SYSTEM OK ABS Yes No.

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