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Vehicle Emissions Inspection & Maintenance Rules & Regulations

Vehicle Emissions Inspection & Maintenance Rules & Regulations

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Low Volume <strong>Emissions</strong> <strong>Inspection</strong> Station Waiver"OBD Only"Date: _______________________TO:DPS Regional Supervisor(address)The inspection station below requests an "OBD-Only" Low Volume <strong>Emissions</strong> <strong>Inspection</strong> StationWaiver.Station name:____________________________________________________________Station number: __________________________________________________________Physical address of the station: ______________________________________________Mailing address of the station: _______________________________________________A copy of the purchase order or receipt for a state approved OBDII only emissions testing equipmentis attached.By signing below, I, the station owner or operator, acknowledge that I have read and understandthe limitations of the low volume waiver, to wit:“I understand the conditions and limitations of being granted a low volume, OBD only emissionsinspection station waiver. I agree to the limitation of 1200 annual emissions tests per yearand agree to the 100 monthly emissions test limit. I agree this inspection station shallnot issue certificates to other than 1996 and newer model year designated vehicles. Iunderstand and agree that violating the terms of this waiver shall result in the suspensionand/or revocation of this station's certification."Signature of the station owner or operator:__________________________________________Printed or typed name of station owner or operator:___________________________________For department use only.Approve: ___________________________Disapprove: ____________________________Regional Supervisor signature: _________________________________________________Reasons for Disapproval: ________________________________________________________________________________________________________________________________________________________________________________________________________________________Distribution: Original to department file and copy to requesting station.5-23

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