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  • MPS - Evidence 200520 INSPEKSI BM 8732 AO

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    24 views2 pages

    MPS - Evidence 200520 INSPEKSI BM 8732 AO

    Uploaded by

    Sulhan Premix

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    Download as pdf
    of 2
    ‘Type of Vehicle Date of inspection o~ UGHT VEHICLE INSPECTION CHECK LIST Mi Byatt TEN CHECKED / BAGIAN YANG DIPERNGA Keterangan [DRIVER INFORMATION informa Pengamodi [Name of river/ Nama Supir AGUS. 1 [river ticane Number / No Sit Pengemudl [reosoa2i0752 [cass of briving tcence / tenis [expe Licence / Masa eral SM [velice tnlormation /tnformast Kendaraan [rRUCK TRAILER [ucence Plato / Nomor Pots! [sna 732 A0 [st vali to / Masa Belk STA [27/08/2020 [suBKe / wk vat to ( Only For Pi Up vente) 7/10/2020 PP PEPE P Pere [rye Of venice Merk] Tipe Kendaraan Merk |MERCEDEZ- BENZ-AKOR ear OF uit Tahun Pembuatan TEM CaECKED AGIAN YANG DIPERKSA ‘vali Conciton No. Keterangan Tidak rang | selec ‘© | VEWCLE CONDON / Kons nendarean km Driven Kilometer Tempah 2 [atass aca: [2 windehielé Koco depan [2-2Rear Window / Kaa belakang [2.3side window // KaceSamping [aawindshield wiper /Karet pembersifaca depan lelck fc] Js) [ale dans [SEE Mir pion 3. Side /Samping Lett / Ri 2 Right/ Kanan juan / ama 4 Head /Depan 442 al/ Batakang 443 parking Pakir ‘4a tncicator-Sign / Signal 45 Brak /Rem 4 Rotary tamp / Lamp Rota keJlek] [eh N44 gs [ree 7B 5.4 Mud Type / Type Mud 5.11 Front Depan 5.4.2 Reat/Selakang ‘52 Asphalt / Type Aspal ‘5.2.1 Front /Depan S.2znear/seakane [Vale Tre Cap Penutup bare angin ban [cas / fuel tank door / Penutup Tangki Behan Bakar Jul Tank Any Leak? / Tang aban bakor, ada bocoran? lkisic}e} fefe Kefaiels I

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