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B Chp108a
B Chp108a
YEAR MAKE LICENSE NUMBER JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
OK DEF OK DEF OK DEF OK DEF OK DEF OK DEF OK DEF OK DEF OK DEF OK DEF OK DEF OK DEF
MAY INSPECTION DATE JUNE INSPECTION DATE JULY INSPECTION DATE AUGUST INSPECTION DATE
SEPTEMBER INSPECTION DATE OCTOBER INSPECTION DATE NOVEMBER INSPECTION DATE DECEMBER INSPECTION DATE
Page 1 of 4 Form may be reproduced privately—bulk supplies are not available from the CHP Chp108A_0419.pdf
STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
YEAR MAKE LICENSE NUMBER JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
OK DEF OK DEF OK DEF OK DEF OK DEF OK DEF OK DEF OK DEF OK DEF OK DEF OK DEF OK DEF
MAY INSPECTION DATE JUNE INSPECTION DATE JULY INSPECTION DATE AUGUST INSPECTION DATE
SEPTEMBER INSPECTION DATE OCTOBER INSPECTION DATE NOVEMBER INSPECTION DATE DECEMBER INSPECTION DATE
Page 2 of 4 Form may be reproduced privately—bulk supplies are not available from the CHP Chp108A_0419.pdf
MAKE
Page 3 of 4
CARRIER NAME
HOURS
MILEAGE OR
STATE OF CALIFORNIA
DATE
CHP 108A (Rev. 7-05) OPI 062
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
BY
LUBRICATION
OIL CHANGE
OIL ADDED
LUBRICATION AND INSPECTION REPORT
FILTER CHANGE
TRANSMISSION
DIFFERENTIAL
WHEEL BEARINGS
MODEL
BATTERIES
BRAKE ADJUSTMENT
TIRE PRESSURE
A LEVEL SERVICE
B LEVEL SERVICE
C LEVEL SERVICE
HOURS
MILEAGE OR
DATE
Form may be reproduced privately—bulk supplies are not available from the CHP
BY
LUBRICATION
OIL CHANGE
UNIT NUMBER
OIL ADDED
LICENSE NUMBER
FILTER CHANGE
TRANSMISSION
DIFFERENTIAL
WHEEL BEARINGS
BATTERIES
YEAR
BRAKE ADJUSTMENT
TIRE PRESSURE
A LEVEL SERVICE
B LEVEL SERVICE
C LEVEL SERVICE
Chp108A_0419.pdf
STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
REPAIR REPORT
CHP 108A (Rev. 7-05) OPI 062
CARRIER NAME UNIT NUMBER YEAR
Page 4 of 4 Form may be reproduced privately—bulk supplies are not available from the CHP Chp108A_0419.pdf