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Annual Taxi Inspection Form Page 1 of 3 CITY OF MOSCOW ANNUAL TAXI INSPECTION FORM Annual taxi vehicle inspections are required by Moscow City Code Title 9 Chapter 5. Vehicles must be inspected by a licensed automotive repair facility. When the vehicle has successfully passed an inspection, return this completed form to the Moscow Police Department, 118 E 4th St, Moscow ID 83843. This inspection is only valid for one year. Should you have any questions, please contact the Moscow Police Department at [PHONE REDACTED] or the City Clerk at [PHONE REDACTED]. Taxi Service Business Name: Taxi Service Owner Name: Contact Phone Vehicle Details: Year: Make: Model: Color: VIN License Plate Odometer: Please include pictures of the vehicle from the front, back, driver side and passenger side. EXTERIOR PASS FAIL REASON FOR FAILURE GLASS: no broken or missing glass; windshield cracks not interfering with driver’s vision. SIDE VIEW MIRRORS: none missing, cracked or broken to the extent to obstruct vision. TIRES: fair to excellent condition; no wear bar level with the tread; no portion of tire grove worn flat; no visible cord or metal; no sidewall plugs. BODY CONDITION: clean and well maintained; no major body damage; no missing body parts. INTERIOR PASS FAIL REASON FOR FAILURE REAR VIEW MIRROR: in place with no broken or missing glass. DOOR KNOBS AND HANDLES: in place and in good working order. SEATS: clean and upholstery free of holes, tears and stains. SEAT BELTS: in place and in good working order; no missing components; any locks that will not engage or disengage; no tears or rips in fabric belts. FLOORBOARDS: are complete and without holes. INTERIOR GENERAL CONDITION: clean and well maintained; free of litter, holes, tears and stains. MECHANICAL PASS FAIL REASON FOR FAILURE HEAD LIGHTS: functioning; to include high and low beams. TURN SIGNALS – FRONT: all bulbs working, no glass or plastic cover broken. ---PAGE BREAK--- Annual Taxi Inspection Form Page 2 of 3 MECHANICAL (CONTINUED) PASS FAIL REASON FOR FAILURE TURN SIGNALS – REAR: all bulbs working; no glass or plastic cover broken. TAIL LIGHTS: all bulbs working; no glass or plastic cover broken. BRAKE LIGHTS: all bulbs working; no glass or plastic cover broken. BACKUP LIGHTS: all bulbs working; no glass or plastic cover broken. HAZARD WARNING LIGHTS: all bulbs working; no glass or plastic cover broken. WIPERS AND WASHERS: in good working order; no blades that are hard, cracked, frayed or ripped. HORN: operative; button or ring not broken beyond use. SPEEDOMETER: working. BRAKES: fair to excellent condition; no grooved rotors or drums; any leaking caliper, wheel cylinder, master cylinder or line. EMERGENCY BRAKE: functioning; must hold vehicle at high idle. EXHAUST SYSTEM: no holes or leaks in system. LEAKS: no fuel leaks. STEERING: any looseness exceeding 1/8”, missing bolts, or bent components. No leaks in steering pump or line. DRIVE LINE/SUSPENSION: any shock leaking, missing grommets, won’t’ recover when vehicle is pushed downward. Broken or deteriorated motor or transmission mounts. U-joints loose. Drive shaft bent. Springs cracked or broken. TAXIMETER PASS FAIL REASON FOR FAILURE TAXIMETER: meter in good working order and calibrated correctly. Meter display illuminated. RATE CARD PASS FAIL REASON FOR FAILURE RATE CARD: a rate card listing rates of fare clearly displayed in the taxicab for passengers to view. VEHICLE MARKINGS PASS FAIL REASON FOR FAILURE CAR NUMBER: a painted or permanently affixed car number on body of vehicle, min. 2” in height. TRADE NAME: a painted or permanently affixed trade name on body of vehicle, min. 2” in height. “TAXI” MARKINGS: the word “TAXI” painted or permanently affixed on doors and trunk, min. 3” in height. OVERHEAD ROOF-MOUNTED ILLUMINATED “TAXI” SIGN: in good working order. GENERAL PASS FAIL REASON FOR FAILURE OTHER: any condition that would place users of the vehicle or the general public at risk. ---PAGE BREAK--- Annual Taxi Inspection Form Page 3 of 3 INSPECTION RESULT: Date of Inspection: ☐ PASS: I have examined the above vehicle and to the best of my knowledge found no conditions that violate state or federal laws or place users of the vehicle or general public at risk. This inspection does not guarantee the safety of the vehicle, only that it has been inspected and has met the inspection requirements set forth above. ☐ FAIL: I certify that for the reason(s) shown above, the vehicle does not comply with the inspection requirements set forth above. Name of Certified Mechanic: ASE certificate Business Phone Business Name: Signature of Certified Mechanic: RE-INSPECTION RESULT (if applicable): Date of Re-inspection: ☐ PASS: I have examined the above vehicle and certify that the appropriate work has now been completed on this vehicle. The vehicle now complies with the inspection requirement set forth above and to the best of my knowledge found no conditions that violate state or federal laws or place users of the vehicle or general public at risk. This inspection does not guarantee the safety of the vehicle, only that it has been inspected and has met the inspection requirements set forth above. Name of Certified Mechanic: ASE certificate Business Phone Business Name: Signature of Certified Mechanic: Updated November 2018 lmh