Black plate (4,1)

Express/Savana CNG Compressed Natural Gas Supplement (GMNA-Localiz-

ing-U.S./Canada-7707479) - 2015 - crc - 5/6/14

11-4

Service and Maintenance

CNG Fuel Tank Inspection Record

Tank Location:

Tank Serial Number:

Tank Expiration Date:

Inspection Interval
(Mileage or Years)

Inspection Date

Inspector

Inspector Initials

Type of Repair

15 Years

N/A

N/A

N/A

Tank Exchanged