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TECHNICAL RULES MOTOCROSS (INCLUDING RULES FOR ... - FIM

TECHNICAL RULES MOTOCROSS (INCLUDING RULES FOR ... - FIM

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<strong>FIM</strong> WORLD CHAMPIONSHIPS AND PRIZE EVENTS<br />

Fuel Sample Declaration Form<br />

FUEL SAMPLES TAKEN ON ….. /….. / ….. <strong>FOR</strong> LABORATORY ANALYSIS<br />

Tech inspection,<br />

practice or<br />

Race N°:<br />

33<br />

Can Label N°<br />

Sample "A"<br />

Sample "B"<br />

Rider: Can Label N°<br />

MOTORCYCLE<br />

MAKE:<br />

TEAM:<br />

Sample "C"<br />

Can Label N°<br />

Can Seal N°<br />

Can Label N°<br />

Can Label N°<br />

The above listed details refer to fuel samples taken from the fuel tank of the<br />

motorcycle specified after the race whilst in the Check Area for a period of 30<br />

minutes.<br />

Sample "A" and ‘’B’’will go to the laboratory appointed by the <strong>FIM</strong> for analysis. Sample<br />

"C" will be safeguarded by the <strong>FIM</strong> in case a counter-expertise is required.<br />

(print name):<br />

As a responsible member of the team named on this sheet, I,<br />

have controlled the serial numbers of can seals and serial numbers of can labels and<br />

hereby certify the accuracy of the listed information.<br />

Time:<br />

(Signature)<br />

Position in team: (OWNER/MANAGER/MECHANIC)

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