ONIN xEMPLAME REMIS A LUSAG
WN 0 procts-vensat -
esa DE CONTROLE TECHNIQUE Z
N° dimprimé: S 611543876
NATURE OU CONTROLE ¥ {3) DATE DU CONTROLE rs
1N DU PROGES VERBAL
Contréle technique périodique
4/03/2021 21 048 643
Ca
Défavorable pour défaillances majeures
(6) DEFAILLANCES ET NIVEAUX DE GRAVITE
Détaillance(s) majeure(s)
5.3.2:b.2. AMORTISSEURS : Amortisseur endommage ou donnant des signes de fute
‘0u de dysfonctionnement grave, AVD
03/05/2021
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Sarria OE IEHES, es onavcs ve mens! beau ow enor
RR me Pvt
45.1.b.4, ETAT ET FONCTIONNEMENT (FEUX DE BROUILLARD AVANT ET
ARRIERE) : Glace legerement defectueuse (pas dinfluence sur lalumiere emise),
IDENTIFICATION DU CENTRE DE CONTROLE] AVD.
"| $824.1. AMORTISSEURS : Ecar signifcatif entre la droite et la gauche, AV.
IN" D”AGREMENT: $092S046 53.3.a.1. TUBES DE POUSSEE, JAMBES DE FORCE, TRIANGLES ET BRAS DE
‘SUSPENSION : Deterioration dun silenibioc de liaison au chassis ou a lessieu, AVD,
2 =
IPT EARONPoCaLE eeUU UO MAN) 6.2.10.2.1. GARDE-BOUE, DISPOSITIFS ANTI-PROJECTIONS : Manquants, mal
{fixes ou gravement rouiles, AV, AVD.
(3} CooRDONNEES
Tel. 01.46.65.59.60
28 AVENUE DU GENERAL LECLERC
92340 BOURG LAREINE
at
(GIIDENTIRCATION DU a
N*oAcREMenT; 08280159
NOM ET PRéNOM. LECOEUR JACQUES
SIGNATURE
aes
[inmatidatno pon Dole Zimncicsen _ PUR Nem
CE-812-RQ (F) ‘20/07/2015
See
L1) N° dons la série du type (VIN) (5) Ce internationale Genr
(wezzsacwise
= :
(rere SS
=
21164
‘AVANT ARRIERE
6 D s >
INFORMATIONS SUR LE CONTROLETECHNVGUE DEFAVORABLE ipage (2 8 trv): +.6mKm
Dissyméuie suspension (<=30%): 6% *
hve Forces vorticales: 96aN {6890N
Fin de sorvice:
é Forces do nage 2484oN —_270d0N ——TOSaN—_155doN
estauloe (20%) 9% %
Force de feirage(eicacte) S47daN 325d0N ——20RdaN 7740
“Tour otic global (>=58%) 2%
Frein de statonnement : tux teticacha(>=18%) 22%
Emissions &réchappement (050-1)
Ch:
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