Wheel-It Industries CARB Compliance Testing
The purpose of this form is to assist in the testing and account creation process for Clean Truck Checkup
For questions please call 480-318-1760  PLEASE BE SURE THE INFORMATION ENTERED IS CORRECT, TYPO'S CAN DELAY THE REGISTRATION PROCESS OR BE CAUSE FOR A DENIAL.PLEASE NOTE THAT COMPLETION OF THIS TEST DOES NOT GAURENTEE A PASSING CIRTIFICATE. RETESTING WILL COME WITH ADDITONAL CHARGES.
Truck Year, Make, Model *
Mileage? Please notify tester if milage is under 600mi *
Truck VIN *
License Plate Number and State *
Company Name (if applicable) DBA? *
Owner Name (First and Last) *
Email address *
Phone number *
Location of unit being inspected (address please) *
Have you had a Check Engine Light on recently? If Yes, how long has it been since the codes were cleared? Truck needs 400mi or 15 warm up cycles since last code clear to pass. *
Has this truck been tested before? *
Will you be needing account setup assistance or help finishing your registration?
(I will set up your Carb Account account from start to finish and/or finish your registration and make sure your registration fee is paid! Saying yes you are giving me permission to create and modify your account as well as sign and certify documents on your behalf in the account creation process.) $80.00
 *
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