19/02/2019 Authorised Inspection Station Check Report - Customer Copy

Authorised Inspection Station e-AUVIS Check Report

Inspection number : FA3834794 Inspection date : 15/01/2019

Inspection status : Pass Amount paid : 77.00

Inspection station
Number : S07261
Name : Wayne Jeffery Gibson
Address : Unit 2, 17-19 Kurrajong Rd
NORTH ST MARYS, NSW 2760
Vehicle details
Number plate : ADR category code : MEDIUM TRAILER
Class : Trailer Engine capacity :
Make : VERMEER Number of cylinders or rotors :
Model : VX30-250 Motive Power :
VIN/Chassis : 1M9FE1225JS284258 Sleeping berth fitted? :
Engine number : R or L hand drive? :
Odometer reading : Wheelbase :
Compliance date : 10/2018 Number of doors :
Manufacture year : Specification sheet number :
Primary colour : YELLOW Engine variant :
Shape : BULK CARRIER TRAILER Induction :
GVM : 4472 K/W Power :
GCM : Gear type :
Tare weight : 2724 No. of forward gears :
Axle code : Trailer - single/single Trailer Brakes : ELECTRIC
No. of driven wheels : Measuring device/Speed limiter :
Total No. of seated persons : details
No. of standing persons : Conditions :
Fittings :
Checks Conducted
Safety check, ID check, Design check

Reason for other fees :

https://ols2.rta.nsw.gov.au/is/printReport.do?action=showReportCustomerCopy&inspectionNo=FA3834794&inspectionType=eAUVIS&aisNo=S07261&examinerNo=E14649&plate= 1/2
19/02/2019 Authorised Inspection Station Check Report - Customer Copy

Reason for inspection : 1st e-AUVIS inspection

Comments

Examiner's certification
I certify that the report is a true record of the vehicle's compliance with the inspection standards of the Rules for Authorised Inspection Stations at the time of inspection.

Examiner's signature :______________________

Examiner's number : E14649
A brake test print-out must be attached unless the vehicle is a motorcycle or trailer.
A passed result will be accepted for 42 days after the first inspection

Privacy Statement
Any personal information is being collected under the Road Transport Act 2013 to notify Roads and Maritime Services (RMS) in relation to the inspection of a motor vehicle. Failure to
supply the information may result in a refusal to renew the registration. The information is being collected for RMS and may be disclosed in accordance with the exemptions provided
under the Privacy and Personal Information Protection Act 1998. Individuals may also seek to have their personal information amended or corrected in accordance with the provisions of
that Act.

Customer Copy

https://ols2.rta.nsw.gov.au/is/printReport.do?action=showReportCustomerCopy&inspectionNo=FA3834794&inspectionType=eAUVIS&aisNo=S07261&examinerNo=E14649&plate= 2/2