any questions on the completion of this form, please contact FORM OBD-21I APR. 84 Page 3 of 3 EFTA00186996 •.• • •••• •mu tet• V V rata ro t UOAU tiro PL lej 00 1 TRANSMISSION OK TX/RX NO CONNECTION TEL SUI3ADDRESS CONNECTION ID ST. TIME USAGE T PGS. SENT RESULT ********************* sic*