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Reporting Year:*
Test Cycle:*
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*Total number of agency vehicles
subject to Smog Check requirements
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Include:
- Both odd and even VIN vehicles
- Gasoline, CNG, LPG and LNG fueled vehicles 1976 and newer
- Diesel fueled vehicles 1998 and newer
Exclude:
- Diesels, CNG, LPG, and LNG fueled vehicles over 14,000 GVWR
- Hybrid and plug-in hybrid vehicles
- Vehicles powered exclusively by electricity
- Motorcycles
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*Vehicles subject to smog
this reporting cycle
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Enter the number of vehicles with VINs that end in an
**** number.
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Include:
- Gasoline, CNG, LPG and LNG fueled vehicles 1976 -
****
- Diesel fueled vehicles 1998 -
****
Exclude:
- Gasoline, CNG, LPG and LNG fueled vehicles 1975 and older or
****
and newer
- Diesel fueled vehicles 1997 and older or
****
and newer
- Diesels, CNG, LPG, and LNG fueled vehicles over 14,000 GVWR
- Hybrid and plug-in hybrid vehicles
- Vehicles powered exclusively by electricity
- Motorcycles
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*Total number of
**** vehicles passing
Smog Check test for this reporting cycle
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Any changes from last report? (RME, Address, etc.)*
If yes, please describe in Comments.
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Comments:
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I hereby declare by this report that all required vehicles owned by this agency
have been tested and passed the required inspection and are in compliance for this
reporting year and agree to retain the vehicle emissions inspection records for
a period of not less than three (3) years and to make such records available to
the Bureau of Automotive Repair or its representative(s) upon request.
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Reporting RME:*
Date Signed:
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