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Quarterly Maintenance Report

Type of Service KEY

A = Annual Inspection

PM = Preventative Maintenance

PI = Period Inspection

R = Repair

SI = State Inspection

O = Other

DVIR = Vehicle Inspection Report

R = All repairs to equipment (brakes, tires, welding, wheel seals, etc.)

QMR's are due on April 1, July 1, October 1 & January 1

*Refer to the key above when completing the Type of Service Column
*Use a separate Quarterly Maintenance Report Form for tractor & trailer (Make copies of form)

*Receipts of all repaired and/or replaced items are required.

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Date of ServiceType of ServiceTractor=T / Trailer=TlrOdometer ReadingName & Location where service was performed (City & State)Description of Service
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