Section I: Safety
Page 5
5-376-000086
REV. 4 - 07/10
Certification Decal
Affixed to the Driver's Side DoorJam, Hinge Pillar or Latch Post
Provided by the Final Stage Vehicle Manufacturer according to Title 49
Part 567 of the Code of Federal Regulations (CFR)
MFG BY:_______________________________________
______________________________________________
DATE OF MFR:MO______________YR.______________
GVWR:_________________KG (_________________LB)
GAWR-FRONT:
______________________KG (__________________LB)
WITH____________________________________TIRES,
______________________RIMS,@______________KPA
(___________________PSI) COLD__________________
GAWR-INTERMEDIATE(1):
______________________KG (__________________LB)
WITH____________________________________TIRES,
______________________RIMS,@______________KPA
(___________________PSI) COLD__________________
GAWR-INTERMEDIATE(2):
______________________KG (__________________LB)
WITH____________________________________TIRES,
______________________RIMS,@______________KPA
(___________________PSI) COLD__________________
GAWR-REAR:
______________________KG (__________________LB)
WITH____________________________________TIRES,
______________________RIMS,@______________KPA
(___________________PSI) COLD__________________
MO._______________________YR._________________
VEHICLE IDENTIFICATION NUMBER:
_______________________________________________
VEHICLE TYPE:
_______________________________________________
THIS VEHICLE HAS BEEN COMPLETED IN ACCORDANCE WITH
THE PRIOR MANUFACTURERS' IVD, WHERE APPLICABLE.
THIS VEHICLE CONFORMS TO ALL APPLICABLE FEDERAL
MOTOR VEHICLE SAFETY STANDARDS, [AND BUMPER AND
THEFT PREVENTION STANDARDS, IF APPLICABLE] IN EFFECT IN:
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