Out-of-State Smog Inspection Record
Vehicle Information
Owner Name
Vehicle Identification Number (VIN)
License Plate Number
Year
Make
Model
Odometer Reading
Inspection Details
Inspection Date
State of Inspection
Inspection Station Name
Station Address
Inspector Name
Inspection Certificate/Number
Emissions Test Results
Test Performed
Result
Limits
Inspector Certification
Inspector Signature
Date
Remarks / Notes