Vehicle Information: New Used Vehicle Make: Vehicle Model: Vehicle Model Year: Vehicle Identification Number (if License Plate Number Manufacture Date: available): (if available): Odometer Reading: Vehicle operational? Yes No DOT Number (if interstate): CHP number (if Delivery Date: applicable): Cab Original Manufacturer GVWR: Conventional Cab-over Engine Information: 0.01g/bhp-hr PM and is at or below the following standard (STD) or family emissions ≤ limit (FEL) NOx level: 0.20 g/bhp-hr Engine Make: Engine Model: Engine Model Manufacture Year: Date: Serial Number (if Engine Family Number: Horsepower: available): Engine operational? Fuel used? CARB Executive Order Yes No Diesel Number: Dealership Information (or attach business card) Contact Person: Business Name: Phone: Address: City: State: Zip Code: TRUCRS Reporting for Truck and Bus Regulation Fleet is reported in TRUCRS and the attached Operational Area
Vehicle Information: New Used Vehicle Make: Vehicle Model: Vehicle Model Year: Vehicle Identification Number (if available): License Plate Number (if available): Manufacture Date: Odometer Reading: Vehicle operational? Yes No DOT Number (if interstate): CHP number (if applicable): Delivery Date: Cab Conventional Cab-over Original Manufacturer GVWR: Engine Information: ≤ 0.01g/bhp-hr PM and is at or below the following standard (STD) or family emissions limit (FEL) NOx level: 0.20 g/bhp-hr Engine Make: Engine Model: Engine Model Year: Manufacture Date: Serial Number (if available): Engine Family Number: Horsepower: Engine operational? Yes No Fuel used? Diesel CARB Executive Order Number: Dealership Information (or attach business card) Contact Person: Business Name: Phone: Address: City: State: Zip Code: TRUCRS Reporting for Truck and Bus Regulation Fleet is reported in TRUCRS and the attached Operational Area
draft2017moyerguidelines_onroadvip_20170117.docx