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United States Qualified Applicants

Location:
Bainbridge, GA
Salary:
17 dollars an hour
Posted:
January 23, 2024

Contact this candidate

Resume:

J&M Tank Lines

**** ********* *******

Birmingham, AL 35242

205-***-****

**-**-**** *:52:52AM CST

IntelliApp

Thank you for your interest in J & M Tank Lines. To apply for a driving position, please complete our online application for employment. Incomplete information will delay the processing of your application or prevent it from being submitted. In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.

Personal Information

Name Andrew Anthony Clark

Current Address 803 Martin Luther King Dr

City, State/Province Zip/Postal Bainbridge, GA 39817 Country United States

Residence 3 years or longer (If No,

previous addresses shown below)

Yes

SSN/SIN 3906

Date of Birth

Primary Phone 229-***-****

Email ad207c@r.postjobfree.com

Yes, I agree to receive information

concerning future opportunities or

promotions from J&M Tank Lines by email

or other commercial electronic

communications.

Yes

Would you like to receive communication

from J&M Tank Lines via text message?

By participating, you consent to receive

text messages sent by an automatic

telephone dialing system, which may

contain recruiting/advertising messages.

Consent to these terms is not a condition

of being hired, contracted, or leased. You

may opt out at any time by texting STOP to

unsubscribe. You also agree that J&M

Tank Lines's service provider receives in

real time and logs your text messages with

J&M Tank Lines.

Yes

1

Company Questions

GENERAL INFORMATION

What position are you applying for? J&M Company Driver If you answered "Owner Operator" select

yes.

If you have your own base plate, please

enter:

What location are you applying for? Americus, GA

Do you have reliable transportation to

commute to/from work?

Yes

Are you legally eligible for employment in

the United States?

Yes

Are you currently employed? No

What date did your last employment end? 12-22-2023 Do you read, write, and speak English? Yes

Have you ever worked for this company

before?

No

Enter start and end dates, location,

position, and reason for leaving:

Do you have a current TWIC card? No

Expiration date:

Have you ever been known by any other

name?

No

Enter name:

How did you hear about us? Driver Referral

If "Driver Referral", please enter the

driver's name

Keith Brown

If "Other", please explain

DRIVING EXPERIENCE

For each class of equipment, select years of experience. If no experience in a class, select "None".

Tractor and Semi-Trailer 10+ years

Tank Experience Less than 1 year

Other Hauled containers

List States Operated in for the last 5

Years:

Ga,Fla,S.C,N.C,Al,TN

Get in and out of a semi-truck? Yes

2

Could you do so with reasonable

accommodation? Please explain

Climb to heights of 12' or greater? Yes

Could you do so with reasonable

accommodation? Please explain

Get under unit to perform duties, such as

checking brakes and visual inspection of

equipment?

Yes

Could you do so with reasonable

accommodation? Please explain

Raise and lower trailer dollies when under

a load?

Yes

Could you do so with reasonable

accommodation? Please explain

Bend & Kneel repeatedly? Yes

Could you do so with reasonable

accommodation? Please explain

Apply enough pressure to release fifth

wheel pin?

Yes

Could you do so with reasonable

accommodation? Please explain

Repeatedly lift and carry hoses &

equipment weighing up to 70 lbs. per

item?

Yes

Could you do so with reasonable

accommodation? Please explain

Sit stationary in a driver's seat for long

periods of time?

Yes

Could you do so with reasonable

accommodation? Please explain

Be on duty the maximum hours allowed by

D.O.T. Hours of Service Regulations?

Yes

Could you do so with reasonable

accommodation? Please explain

Emergency Contact Name Juleah Clark

Emergency Contact Phone Number 850-***-****

Recruiter

Worklist

3

Licenses

License Number 377

Licensing Authority GA

Country United States

License Class Class A

License Expiration Date 07-08-2024

DOT Medical Card Expiration Date 05-08-2020

Current License Yes

Commercial Driver License Yes

Endorsements None

Employment / Unemployment

Freeport Transportation

Company Freeport Transportation

Start Date 05-2021

End Date 01-2024

Address P.O. BOX 186

City, State/Province Zip/Postal Rincon, GA 31326

Country United States

Phone 912-***-****

Fax 912-***-****

Position Held Company driver

Reason for leaving? Still here

Were you terminated/discharged/laid off? Yes

Termination Explanation Lost the biggest account we had that ran thur Bainbridge

Is this your current employer? No

May we contact this employer at this time? Yes

Did you operate a commercial motor

vehicle?

Yes

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Yes

Did you perform any safety sensitive Yes

4

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Areas Driven Ga,Fla,S.C,N.C,AL,TN

Miles driven weekly 2500-3000

Pay Range (cents/mile) Paid by the load

Most common truck driven Conventional Tractor

Most common trailer Container

Trailer length 32 to 44 feet

Freeport Transportation

Company Freeport Transportation

Start Date 10-2020

End Date 04-2021

Address 102 KELLY AVE.

City, State/Province Zip/Postal Rincon, GA 31326

Country United States

Phone 912-***-****

Position Held

Reason for leaving? Still employed

Were you terminated/discharged/laid off? No

Is this your current employer? Yes

May we contact this employer at this time? Yes

Did you operate a commercial motor

vehicle?

Yes

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Yes

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Yes

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Reefer Trailer

Trailer length 53 feet or more

5

Keystone Freight

Company Keystone Freight

Start Date 02-2020

End Date 09-2020

Address 2820 16th St

City, State/Province Zip/Postal N Bergen, NJ 7047

Country United States

Phone 201-***-****

Fax 201-***-****

Position Held Company driver

Reason for leaving? Still there lack of work

Were you terminated/discharged/laid off? No

Is this your current employer? Yes

May we contact this employer at this time? Yes

Did you operate a commercial motor

vehicle?

Yes

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Yes

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Yes

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Van

Trailer length 53 feet or more

Unemployment

Start Date 01-2020

End Date 01-2020

Comment Looking for work

Dtg

Company Dtg

Start Date 10-2019

6

End Date 12-2019

Address 3895 Spring Manor Court

City, State/Province Zip/Postal Loganville, GA 30052 Country United States

Phone 678-***-****

Position Held Driver

Reason for leaving? Seasonal

Were you terminated/discharged/laid off? Yes

Termination Explanation Work got slow

Is this your current employer? No

May we contact this employer at this time? Yes

Did you operate a commercial motor

vehicle?

Yes

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Yes

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Yes

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Reefer Trailer

Trailer length 53 feet or more

R and D metals

Company R and D metals

Start Date 08-2019

End Date 09-2019

Address

City, State/Province Zip/Postal Thomasville, GA 31792 Country United States

Phone 229-***-****

Position Held Driver

Reason for leaving? Was not safe for driver

7

Were you terminated/discharged/laid off? No

Is this your current employer? No

May we contact this employer at this time? Yes

Did you operate a commercial motor

vehicle?

Yes

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Yes

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Yes

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven Day Cab

Most common trailer Other

Trailer length 45 to 52 feet

Unemployment

Start Date 07-2019

End Date 07-2019

Comment Seasonal work ended

Wood Resource Recovery

Company Wood Resource Recovery

Start Date 04-2019

End Date 06-2019

Address 6424 NW 18th Drive

City, State/Province Zip/Postal Gainesville, FL 32653 Country United States

Phone 352-***-****

Position Held Driver

Reason for leaving? Seasonal

Were you terminated/discharged/laid off? Yes

Termination Explanation Storm work

Is this your current employer? No

Yes

8

May we contact this employer at this time?

Did you operate a commercial motor

vehicle?

Yes

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Yes

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Yes

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven Day Cab

Most common trailer Other

Trailer length 45 to 52 feet

Truline Corporation

Company Truline Corporation

Start Date 07-2017

End Date 03-2019

Address 9390 Redwood Street

City, State/Province Zip/Postal Las Vegas, NV 89139 Country United States

Phone 702-***-****

Fax 702-***-****

Position Held Driver

Reason for leaving? Moved back home

Were you terminated/discharged/laid off? No

Is this your current employer? No

May we contact this employer at this time? Yes

Did you operate a commercial motor

vehicle?

Yes

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Yes

Yes

9

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Reefer Trailer

Trailer length 53 feet or more

Truline Corporation

Company Truline Corporation

Start Date 09-2018

End Date 02-2019

Address 9390 Redwood Street

City, State/Province Zip/Postal Las Vegas, NV 89139 Country United States

Phone 702-***-****

Fax 702-***-****

Position Held Driver

Reason for leaving? Still there

Were you terminated/discharged/laid off? No

Is this your current employer? Yes

May we contact this employer at this time? Yes

Did you operate a commercial motor

vehicle?

Yes

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Yes

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Yes

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

10

Most common trailer Reefer Trailer

Trailer length 53 feet or more

Truline Driver Solutions

PLEASE DO NOT CONTACT

Company Truline Driver Solutions

Start Date 07-2017

End Date 08-2018

Address McDonough

City, State/Province Zip/Postal Las Vegas, NV

Country United States

Phone 877-***-****

Position Held driver

Reason for leaving? still there

Were you terminated/discharged/laid off? No

Is this your current employer? Yes

May we contact this employer at this time? No

Did you operate a commercial motor

vehicle?

Yes

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Yes

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Yes

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Reefer Trailer

Trailer length 53 feet or more

Dtg

Company Dtg

Start Date 10-2016

End Date 06-2017

Address Atlanta

11

City, State/Province Zip/Postal Atlanta, GA

Country United States

Phone 850-***-****

Position Held Driver

Reason for leaving? Seasonal

Were you terminated/discharged/laid off? No

Is this your current employer? No

May we contact this employer at this time? Yes

Did you operate a commercial motor

vehicle?

Yes

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Yes

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Yes

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Reefer Trailer

Trailer length 53 feet or more

Euromex of ga

Company Euromex of ga

Start Date 02-2014

End Date 09-2016

Address 4068 Keswick Dr se

City, State/Province Zip/Postal Atlanta, GA 30339

Country United States

Phone 770-***-****

Position Held Owner operater

Reason for leaving? Couldn't afford to get truck fixed Were you terminated/discharged/laid off? No

Is this your current employer? No

Yes

12

May we contact this employer at this time?

Did you operate a commercial motor

vehicle?

Yes

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Yes

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Yes

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Other

Trailer length 40 feet or more

Wood resource recovery

Company Wood resource recovery

Start Date 03-2013

End Date 12-2014

Address 10606 n state rd 121

City, State/Province Zip/Postal Gainesville, FL 32653 Country United States

Phone 904-***-****

Position Held Driver

Reason for leaving? Job moved back to Gainesville

Were you terminated/discharged/laid off? No

Is this your current employer? No

May we contact this employer at this time? Yes

Did you operate a commercial motor

vehicle?

Yes

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Yes

Did you perform any safety sensitive

functions in this job, regulated by DOT,

Yes

13

and subject to drug and alcohol testing?

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Other

Trailer length 40 feet or more

Pfg

Company Pfg

Start Date 10-2010

End Date 02-2013

Address 211 Alton hall rd

City, State/Province Zip/Postal Cairo, GA 39828

Country United States

Phone 229-***-****

Position Held Driver

Reason for leaving? Moved to Atlanta

Were you terminated/discharged/laid off? No

Is this your current employer? No

May we contact this employer at this time? Yes

Did you operate a commercial motor

vehicle?

Yes

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Yes

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Yes

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven

Most common trailer Reefer Trailer

Trailer length 45 to 52 feet

Unemployment

14

Start Date 05-2010

End Date 09-2010

Comment Was out of work

Cone distribution

Company Cone distribution

Start Date 09-2008

End Date 04-2010

Address 3214 w Tharp st

City, State/Province Zip/Postal Tallahassee, FLORIDA 32303 Country Afghanistan

Phone 850-***-****

Position Held Driver

Reason for leaving? Changed cdl

Were you terminated/discharged/laid off? Yes

Termination Explanation Changed my cdl and didn't notify company

Is this your current employer? No

May we contact this employer at this time? Yes

Did you operate a commercial motor

vehicle?

Yes

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Yes

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Yes

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven

Most common trailer Other

Trailer length 32 to 44 feet

Cone distribution

Company Cone distribution

Start Date 09-2008

15

End Date 04-2010

Address 3214 w Tharp st.

City, State/Province Zip/Postal Tallahassee, FL 32303 Country United States

Phone 850-***-****

Position Held Driver

Reason for leaving? Discharged for changing cdl

Were you terminated/discharged/laid off? Yes

Termination Explanation Moved back to ga and didn't notify company

Is this your current employer? No

May we contact this employer at this time? Yes

Did you operate a commercial motor

vehicle?

Yes

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Yes

Did you perform any safety sensitive

functions in this job, regulated by DOT,

and subject to drug and alcohol testing?

Yes

Areas Driven

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven

Most common trailer Other

Trailer length 32 to 44 feet

Unemployment

Start Date 06-2007

End Date 08-2008

Comment Was out of work

16

FMCSR

Under FMCSR 391.15, are you currently

disqualified from driving a commercial

motor vehicle? [49 CFR 391.15]

No

Has your license, permit or privilege to

drive ever been suspended or revoked for

any reason? [49 CFR 391.21(b)(9)]

Yes

Please provide additional detail, including the dates of the suspension(s)/revocation(s): Child support 2014

Have you ever been denied a license,

permit, or privilege to operate a motor

vehicle?[49 CFR 391.21(b)(9)]

No

Within the past two years, have you tested

positive, or refused to test, on a

pre-employment drug or alcohol test by an

employer to whom you applied, but did not

obtain, safety-sensitive transportation work

covered by DOT agency drug and alcohol

testing rules? [49 CFR 40.25(j)]

No

In the past three(3) years, have you ever

been convicted of any of the following

offenses: [49 CFR 391.15]:

Driving a commercial motor vehicle

with a blood alcohol concentration

("BAC") of .04 percent or more

·

Driving under the influence of

alcohol, as prescribed by state law

·

Refusal to undergo drug and

alcohol testing as required by any

jurisdiction for the enforcement of

Federal Motor Carrier Safety Act

regulations

·

Driving a commercial motor vehicle

under the influence of any 21

C.F.R. 1308.11 Schedule I

identified controlled substance, an

amphetamine, a narcotic drug, a

formulation of an amphetamine, or

a derivative of a narcotic drug

·

Transportation, possession, or

unlawful use of a 21 C.F.R.

1308.11 Schedule I identified

controlled substance,

amphetamines, narcotic drugs,

formulations of an amphetamine, or

derivatives of narcotic drugs while

you were on duty driving for a

motor carrier

·

No

17

Leaving the scene of an accident

while operating a commercial motor

vehicle

·

Or any other felony involving the

use of a commercial motor vehicle

·

Vehicle Accident Record

Were you involved in any accidents/incidents with any vehicle in the last 5 years (even if not at fault)?

No Accidents

Traffic Convictions \ Violations

Have you had any moving violations or traffic convictions in the past 3 years? No Violations

Criminal Record

Have you ever been convicted of a crime? No

Do you have any deferred prosecutions? No

Do you have criminal charges pending? No

Have you ever pled "guilty" to, been

convicted of, or pled "no contest" to a

felony?

No

If you have any felony convictions, do you

currently hold a minister's permit to enter

or exit Canada?

No

Have you, within the last five years, pled

"guilty" to, been convicted of, had

prosecution deferred in connection with, or

pled "no contest" to a misdemeanor?

No

Signature

Full Name Andrew Anthony Clark

IP Address 174.215.179.9

Signature Date/Time 01-10-2024 8:52 AM

By signing my application below, I agree to use an electronic signature to demonstrate my consent. An electronic signature is as legally binding as an ink signature. This certifies that this application was completed by me, and that all 18

entries on it and information in it are true and complete to the best of my knowledge.

Signed Date: 01-10-2024 8:52 AM

Signed:

Federal FCRA Summary of Rights Acknowledgment

By checking this box, I (a) acknowledge

that I have read and understand the

federal FCRA Summary of Rights and

have been given the opportunity to

copy/print the Summary of Rights and (b)

agree to use an electronic signature to

demonstrate my consent. An electronic

signature is as legally binding as an ink

signature.

Yes

PSP Disclosure and Authorization

By checking the box, I (a) acknowledge

that I have read and understand the PSP

Disclosure and Authorization and also

have been given the opportunity to

copy/print it, and (b) agree to use an

electronic signature to demonstrate my

consent. An electronic signature is as

legally binding as an ink signature.

Yes

FCRA Disclosure

By checking the box, I (a) acknowledge

that I have read and understand the above

and also have been given the opportunity

to copy/print it, and (b) agree to use an

electronic signature to demonstrate my

consent. An electronic signature is as

legally binding as an ink signature.

Yes

FCRA Authorization

By checking the box, I (a) acknowledge

that I have read and understand the above

and also have been given the opportunity

Yes

19

to copy/print it, and (b) agree to use an

electronic signature to demonstrate my

consent. An electronic signature is as

legally binding as an ink signature.

Employment Verification Acknowledgment and Release (DOT Drug and Alcohol) By checking the box, I (a) acknowledge

that I have read and understand the above

and also have been given the opportunity

to copy/print it, and (b) agree to use an

electronic signature to demonstrate my

consent. An electronic signature is as

legally binding as an ink signature.

Yes

Clearinghouse Release

By checking the box, I (a) acknowledge

that I have read and understand the above

and also have been given the opportunity

to copy/print it, and (b) agree to use an

electronic signature to demonstrate my

consent. An electronic signature is as

legally binding as an ink signature.

Yes

Summary of Rights Under 15 U.S.C. Section 1681m(a) By checking the box, I (a) acknowledge

that I have read and understand the

Summary of Rights Under 15 U.S.C.

Section 1681m(a) and have been given

the opportunity to copy/print the 1681m

Summary of Rights and (b) agree to use

an electronic signature to demonstrate my

consent. An electronic signature is as

legally binding as an ink signature.

Yes

INVESTIGATIVE CONSUMER REPORT DISCLOSURE

By checking this box, I represent that I

understand and agree to the above

Investigative Consumer Report

Disclosure.

Yes

User Requested Copy

User requested a copy to be sent to this

email address

Yes

20

ad207c@r.postjobfree.com.

21

DISCLOSURE FOR CONSUMER REPORTS

In connection with your employment or owner-operator (independent contractor) application, J & M Tank Lines may order one or more consumer report(s) (commonly known as "background reports" or "background checks") about you from one or more consumer reporting agencies. If you are hired or engaged as an owner-operator (independent contractor), additional consumer reports may be obtained in connection with and throughout your employment for employment purposes or for the legitimate business purpose of evaluating you as an owner-operator.

To the extent allowed by law, the consumer reports may include information concerning your character, general reputation, personal characteristics, mode of living, drug and alcohol test results, motor vehicle records, driving records, criminal history, public court records, employment history (including names and dates of previous employers, reason for termination of employment, work experience, and accidents), social security number validation, education, licensure, or verification of other information supplied by you. Such reports may be obtained from private and public record sources, including sanctions databases, CDLIS (including but not limited to CDLIS Central Site, CDLIS Master Pointer Record data and your driver record from the jurisdiction identified in the CDLIS data, in accordance with applicable state law and the Driver Privacy Protection Act), former employers, public court records, and federal, state, and other government agencies that maintain such records. Printed Name:

Andrew Anthony Clark

Social Security #:

3906

Signed Date: 01-10-2024

Andrew Anthony Clark

803 Martin Luther King Dr

Bainbridge, GA 39817

229-***-****

Gender:

22

AUTHORIZATION FOR CONSUMER REPORTS

I authorize J & M Tank Lines to obtain one or more consumer report(s) or investigative consumer report(s) about me. If hired or engaged as an owner-operator (independent contractor), I understand this authorization shall remain on file and shall serve as ongoing authorization for additional consumer reports or investigative consumer reports to be obtained from any consumer reporting agency at any time during my employment or contract period without asking me for authorization again. Printed Name:

Andrew Anthony Clark

Social Security #:

3906

Signed Date: 01-10-2024

Andrew Anthony Clark

803 Martin Luther King Dr

Bainbridge, GA 39817

229-***-****

Gender:

23

IMPORTANT DISCLOSURE

REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with J&M Tank Lines ("Prospective Employer"), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier Safety Administration

(FMCSA).

When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or in whole on this report. When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer must provide you within three business days of taking adverse action oral, written or electronic notification: that adverse action has been taken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act. Neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. You may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If you challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. Your request will be forwarded by the DataQs system to the appropriate State for adjudication.

Any crash or inspection in which you were involved will display on your PSP report. Since the PSP report does not report, or assign, or imply fault, it will include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, all inspections, with or without violations, appear on the PSP report. State citations associated with Federal Motor Carrier Safety Regulations (FMCSR) violations that have been adjudicated by a court of law will also appear, and remain, on a PSP



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