Form MO780-2140 "Compliance Inspection Form" - Missouri

What Is Form MO780-2140?

This is a legal form that was released by the Missouri Department of Natural Resources - a government authority operating within Missouri. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2011;
  • The latest edition provided by the Missouri Department of Natural Resources;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form MO780-2140 by clicking the link below or browse more documents and templates provided by the Missouri Department of Natural Resources.

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Download Form MO780-2140 "Compliance Inspection Form" - Missouri

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MISSOURI DEPARTMENT OF NATURAL RESOURCES
GATEWAY VEHICLE INSPECTION PROGRAM
COMPLIANCE INSPECTION FORM
FACILITY GVIP NUMBER
INSPECTION DATE
FACILITY NAME
FACILITY ADDRESS
CITY
ZIP CODE
COUNTY
RESPONSIBLE AGENT
INSPECTOR GVIP NUMBER
TELEPHONE NUMBER WITH AREA CODE
STATION INSPECTOR NAME
INSPECTOR GVIP NUMBER
GVIP ANALYZER NUMBER
INSPECTION FINDINGS
TYPE OF INSPECTION
AIR POLLUTION CONTROL PROGRAM AUDITOR NAME
Overt
Covert
Data review
NON-
NON-
AUDIT ITEM
COMPLIANT
N/A
AUDIT ITEM
COMPLIANT
N/A
COMPLIANT
COMPLIANT
GVIP sign visible to passing motorists (C, O)
Station has decals (O)
Motorist received legitimate VIR and decal
GVIP information poster readily discernible (C,O)
(C,O)
GVIP station license current and readily visible
Correct odometer reading entered during
(C,O)
re-inspection (C,D)
GVIP I/M licenses current and readily visible
All information entered accurately (C,D,O)
(C,O)
Test conducted during normal business hours
VIN on original inspection document matched
(C, D, O)
vehicle presented for re-inspection (C,D,O)
Open minimum of 40 hrs/week for testing (C,O)
KOEO / KOER status entered correctly (C,D)
GVIP inspector on duty during business hours
Proper emissions re-inspection (C,O)
(C,D,O)
Test conducted within two hours of arrival
Proper safety inspection of air pollution
(unless other vehicles being tested) (C,D,O)
control devices (C)
Inspector completed license re-examination (D)
No clean scanning (C,D,O)
Clear photographs of VIN, odometer and
Retest conducted within one hour of arrival (C,O)
license plate (C,D,O)
Inspection bay(s) have sufficient light,
Three new photographs taken during
temperature and/or ventilation (O)
reinspections (C,D,O)
Inspection bay has sufficient space (O)
GVIP decals kept in secure location (O)
Lane camera not tampered with or redirected
Vehicle inspected in “as-received condition” (C,O)
(O)
Facility not misrepresented as GVIP station
Information uploaded to VID immediately
(C,D,O)
(C,D,O)
Personnel not misrepresented as GVIP
Station stays on-line and connected to VID
inspectors (C,D,O)
(C,D,O)
Department notified of change in ownership,
Test fees posted and readily visible (C,D,O)
location, or closure (D,O)
Data entered from Repair Data Sheet (C,D,O)
Department notified of inspector change (D,O)
Catalytic converter repairs qualified and
Station maintains all required equipment (O)
compliant with state and EPA requirements
(C,D)
Inspector used own fingerprint or password (C,O)
Emission defeating parts not installed (C,D)
Station charges $24 or less for emissions test
Emissions repairs appropriate for fail - no
(C,O)
unqualified or fraudulent repairs made (D)
Free re-inspection provided within 20 business
Appropriate number of inspections performed
days (C,O)
over a given time period (D)
VIR and sticker provided for passing test (C,O)
Motorist provided valid VIR for registration (C)
Motorists obtained valid emission test during
Required documents provided for failed test (C,O)
compliance cycle (C,D,O)
Government agencies obtained emission
Motorist received VIR for aborted test (C,O)
inspections (D,O)
MO 780-2140 (08-11)
PAGE 1 OF 2
MISSOURI DEPARTMENT OF NATURAL RESOURCES
GATEWAY VEHICLE INSPECTION PROGRAM
COMPLIANCE INSPECTION FORM
FACILITY GVIP NUMBER
INSPECTION DATE
FACILITY NAME
FACILITY ADDRESS
CITY
ZIP CODE
COUNTY
RESPONSIBLE AGENT
INSPECTOR GVIP NUMBER
TELEPHONE NUMBER WITH AREA CODE
STATION INSPECTOR NAME
INSPECTOR GVIP NUMBER
GVIP ANALYZER NUMBER
INSPECTION FINDINGS
TYPE OF INSPECTION
AIR POLLUTION CONTROL PROGRAM AUDITOR NAME
Overt
Covert
Data review
NON-
NON-
AUDIT ITEM
COMPLIANT
N/A
AUDIT ITEM
COMPLIANT
N/A
COMPLIANT
COMPLIANT
GVIP sign visible to passing motorists (C, O)
Station has decals (O)
Motorist received legitimate VIR and decal
GVIP information poster readily discernible (C,O)
(C,O)
GVIP station license current and readily visible
Correct odometer reading entered during
(C,O)
re-inspection (C,D)
GVIP I/M licenses current and readily visible
All information entered accurately (C,D,O)
(C,O)
Test conducted during normal business hours
VIN on original inspection document matched
(C, D, O)
vehicle presented for re-inspection (C,D,O)
Open minimum of 40 hrs/week for testing (C,O)
KOEO / KOER status entered correctly (C,D)
GVIP inspector on duty during business hours
Proper emissions re-inspection (C,O)
(C,D,O)
Test conducted within two hours of arrival
Proper safety inspection of air pollution
(unless other vehicles being tested) (C,D,O)
control devices (C)
Inspector completed license re-examination (D)
No clean scanning (C,D,O)
Clear photographs of VIN, odometer and
Retest conducted within one hour of arrival (C,O)
license plate (C,D,O)
Inspection bay(s) have sufficient light,
Three new photographs taken during
temperature and/or ventilation (O)
reinspections (C,D,O)
Inspection bay has sufficient space (O)
GVIP decals kept in secure location (O)
Lane camera not tampered with or redirected
Vehicle inspected in “as-received condition” (C,O)
(O)
Facility not misrepresented as GVIP station
Information uploaded to VID immediately
(C,D,O)
(C,D,O)
Personnel not misrepresented as GVIP
Station stays on-line and connected to VID
inspectors (C,D,O)
(C,D,O)
Department notified of change in ownership,
Test fees posted and readily visible (C,D,O)
location, or closure (D,O)
Data entered from Repair Data Sheet (C,D,O)
Department notified of inspector change (D,O)
Catalytic converter repairs qualified and
Station maintains all required equipment (O)
compliant with state and EPA requirements
(C,D)
Inspector used own fingerprint or password (C,O)
Emission defeating parts not installed (C,D)
Station charges $24 or less for emissions test
Emissions repairs appropriate for fail - no
(C,O)
unqualified or fraudulent repairs made (D)
Free re-inspection provided within 20 business
Appropriate number of inspections performed
days (C,O)
over a given time period (D)
VIR and sticker provided for passing test (C,O)
Motorist provided valid VIR for registration (C)
Motorists obtained valid emission test during
Required documents provided for failed test (C,O)
compliance cycle (C,D,O)
Government agencies obtained emission
Motorist received VIR for aborted test (C,O)
inspections (D,O)
MO 780-2140 (08-11)
PAGE 1 OF 2
ADDITIONAL COMMENTS
ACTIONS REQUIRED
All inspections are conducted under the authority of Missouri Air Conservation Commission Regulation 10 CSR 10-5.381.
RESPONSIBLE AGENT SIGNATURE
DATE
GVIP AUDITOR SIGNATURE
DATE
MO 780-2140 (08-11)
PAGE 2 OF 2
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