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<br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br /> <br />MIAMI.. <br />mmiiiil <br /> <br />CONSUMER SERVICES DEPARTMENT <br />CONSUMER PROTECTION DIVISION <br />140 WEST FLAGLER STREET, SUITE 902 <br />MIAMI, FLORIDA 33 I 30- I 561 <br /> <br />Tel: (305) 375-3677 <br /> <br />g <br /> <br />Fax: (305) 375-4120 <br /> <br />'@ <br /> <br />TDD: (305) 375-4177 <br /> <br />'1'~ <br /> <br />E-mail: consumerlalmiamidade.gov <br /> <br />ENFORCEMENT OFFICER: <br /> <br /> <br />, <br />'\' '.. <br /> <br />OW TRUCK INSPECTION REPORT <br />BADGE/I.(3~ C\ INSPECTION DATE:li J ~ 10 <br /> <br />INSPECTION TIME:_ _A.M./P.M. <br /> <br />INITIAL INSPECTION: D RENEWAL INSPECTION: D RE-INSPECTION: D <br /> <br />!BUSINESS INFORMA nONI <br /> <br />SQCU-\l~9w;t ~~ <br /> <br />D/B/A/: () ,.--}. <br />BUSINESS ADDRESS: )(~OO fI CJ.Y 1 ~e. <br />BUSINESS PHONE NUMBER :(f!f'JS: {j!jJ~1 (\ j, (JC) TUI <br /> <br />BUS[NESS NAME: <br /> <br />inc <br /> <br />~Iv, .'2 '7 , -() <br />CITY/ZIP CODE (.....{U .0.:) /;\J ! ' <br />&"Jt- <br /> <br /> <br />MAKE: <br />'-; i '( ~'l <br />\J' <br /> <br />MODEL: <br /> <br />n,.~. l <br />:''''; ~): <br /> <br />'f. :.." t\ I~-, .~I (~ <br />'ol." \..i '._ : <br /> <br />TAG: <br /> <br />---...:, <br /> <br />\ '< '-} ~ <J <br />GROSS VEHICLE WEIGHT RATING (GVWR): \ .i CLASS': <br /> <br />/M <br /> <br />'Class is determined by the GVWR oflhe vehicle. <br /> <br />VEHICLE MANUFACTURED AS A TOWING VEHICLE? DES DNo" <br />.. Ifno, a letter must be submitted by towing equipment installer that includes, at a minimum, the installer's qualifications <br />(certifications, training, experience), the amount of weight the equipment can safely lift and tow, and a description of the tests <br />performed (to include any test data) to ensure that specified weight could be safely lifted and hauled. <br /> <br />RECORDS VERIFY OWNERSHIP OR LEASE? <br /> <br />DES Do <br />BES B~ <br />YES <br />~ES ~~ <br />ES <br />ES <br />ES <br />ES <br /> I'ASSENGER SIDE <br /> ~ES ~~ <br /> ES <br /> ES <br /> ES <br /> <br />IEQUlPMENT INSPECTION CHECKLISlj <br /> <br />I. <br />2. <br />3. <br /> <br />WORK[NG AMBER ROTAT[ON DOME LIGHTS <br />(3) SAFETY CONES 2' HIGH, GLOW ORANGE AND (3) TRIANGLES <br />F[RE EXTINGUISHER UL APPROVED C02 OR DR Y CHEMICAL: <br />GVWR below 50,000 - 5 Ibs. GVWR 50,000 or above - 201bs. <br />(6) FLARES - 30 MINUTES EACH <br />BROOM - HEA VY DUTY (24 INCHES WIDE MIN[MUM) <br />SHOVEL - FLAT <br />SIDEV[EW MIRRORS <br /> <br />4. <br />5. <br />6. <br />7. <br /> <br />IvEHICLE LETERINcj <br /> <br />I. <br />2. <br />3. <br />4. <br /> <br />DRIVER SIDE <br /> <br />~ES ~O <br />ES 0 <br />ES 0 <br />ES 0 <br /> <br />BUSINESS NAME (3 INCHES MINIMUM) <br />ADDRESS (I INCH MIN[MUM) <br />PHONE/BEEPER (I [NCH MINIMUM) <br />TL LICENSE NUMBER (3 [NCHES MINIMUM) <br /> <br />COMMENTS: <br /> <br />/ \'\ <br /> <br />, <br />\)( '\- /': <br /> <br />~ i ...... \ <br />(1 .} \ ;, <br /> <br />~ <br /> <br />,-.- -' \ \ <br /> <br />,/' <br /> <br />~NSPECTION RESULTs! <br /> <br />/' <br />DpPROVED <br /> <br />DREJECTED'" <br /> <br />DECAL # 0 G3bL( <br /> <br />***NonCE FOR REJECTED VEHICLES (RENEWAL INSPECTIONS ONLY): THE VEHICLE C[TED ON THIS INSPECTION <br />REPORT MUST BE IN COMPLIANCE WITH MIAMI-DADE COUNTY CODE BY _-_._NO LATER THAN <br />_:_A.M./P.M. THE VEHICLE MAY BE OPERATED WITHIN SAID TIME. IF THE VEHICLE DOES NOT PASS RE- <br />INSPECTION WITHIN SAID TIME, [1' SHALL BE PROHIBITED FROM PERFORlyffi;JG TOWS WITH[N MIAMI-DADE COUNTY. <br />. I ' <br /> <br />I . <br />i i . <br />'......1/ <br /> <br />j j'-/\' ~.~ 'F i <br />(ENFORCEMENT OFF[CER) <br /> <br />) , <br /> <br />(OWNER! AGENT) <br /> <br />133_01-706/06 <br />