TRAILER INTERCHANGE RECEIPT
AND INSPECTION REPORT

DATE AND TIME
TRUCK COMPANY
CHASSIS PLATE#
STATE/EXP
CONTAINER PREFIX AND NUMBER
CHASSIS PREFIX AND NUMBER
SEAL NUMBER
EMPTY
FULL
CONTAINER SIZE
8'6", HIGH CUBE, REEFER, OTHER
YARD LOCATION
FMCSA DATE
PRO #
DRIVER ID#
OFFICER SIGNATURE