Applicant Name: Francisco Javier Molina

Company Name: ABS Logistics LLC

Company Address: 301 West Larch Rd, Tracy, CA 95304 Submitted Date/Time: March 05, 2024 12:55 AM (CST) 1.PERSONAL INFORMATION

Applicant Details

Last Name: Molina

First Name: Francisco

Middle Name: Javier

Birth Date: October 01, 1962

Identification Country USA

SSN/SIN/Other Identification Number: ***-**-****

Phone Number: 408-***-****

Email Address: ad35xc@r.postjobfree.com

Current Residency Details

Current Address: 2845 E Hatch Rd SPC 85

Country: USA

State/Province: California

County: Stanislaus

City/Municipality: Modesto

Zip Code/Postal Code: 95351

Residence From: Nov 2023 to Present

Previous Residency Details

Current Address: 1712 Elm Ave

Country: USA

State/Province: California

County: Stanislaus

City/Municipality: Modesto

Zip Code/Postal Code: 95358

Residence From: Jun 2017 to Oct 2023

2. EMPLOYMENT HISTORY

This position is CDL; you will be required to provide 10 years of employment history below. Current or Most Recent Employer /Company Name /Truck Driving School /Self Employment Are you currently employed? No

Account for period if not employed:

From: Dec 2023 to Mar 2024

Employment Status: Not Working

Employer 1

Employer/Company Name: Universal Intermodal

Phone Number: 586-***-****

Address: 2701 CA 99

Country: USA

State/Province: California

City: Stockton

Zip/Postal Code: 95205

Position Held: Truck driver

From: Apr 2023 to Dec 2023

Reason for Leaving: Terminated

Were you subject to the FMCSRs while employed? Yes Was your job designated as a safety-sensitive

function in any DOT-regulated mode subject to the

drug and alcohol testing requirements of 49 CFR

Part 40?

Yes

Employer 2

Employer/Company Name: J & R Truck School

Phone Number: 209-***-****

Address: 1528 Culpepper

Country: USA

State/Province: California

City: Modesto

Zip/Postal Code: 95351

Position Held: Student

From: Sep 2022 to Feb 2023

Reason for Leaving: Completed Truck Driving School Were you subject to the FMCSRs while employed? Yes Was your job designated as a safety-sensitive

function in any DOT-regulated mode subject to the

drug and alcohol testing requirements of 49 CFR

Part 40?

Yes

Employer 3

Employer/Company Name: Tile Plus Inc

Phone Number: 408-***-****

Address: 3400 De La Cruz Blvd Ste G

Country: USA

State/Province: California

City: Santa Clara

Zip/Postal Code: 95054

Position Held: Delivery driver

From: Sep 2013 to Sep 2022

Reason for Leaving: Laid-Off

Were you subject to the FMCSRs while employed? No

Was your job designated as a safety-sensitive

function in any DOT-regulated mode subject to the

drug and alcohol testing requirements of 49 CFR

Part 40?

No

3. EXPERIENCE AND QUALIFICATIONS

Driving Experience

Commercial Driving experience in the last 3 years: Yes Equipment Class Equipment Type Dates Approx. Number of Miles Straight Truck Flat Jan 2021 to Sep 2022 Less Than 50,000 Tractor & Semi-Trailer Van Apr 2023 to Dec 2023 Less Than 50,000 Accident Details

In the last 3 years, have you been in an Accident? No Traffic Conviction and/or Forfeitures Details

In the last 3 years, have you had any traffic

convictions and/or forfeitures?:

No

Current License Information

Current State/Province of Residence: California

Current License Number: F5230172

License Class: CDL - A

Expiration Date: 10/01/2027

Other Information

Have you ever been denied a license, permit, or

privilege to operate a motor vehicle? No More

Information:

No

More Information:

Has any license, permit or privilege ever been

suspended or revoked?

No

More Information:

CDL Endorsements: T - Double/triple trailers

More Information:

CDL Restrictions: None

More Information:

4. UPLOAD RELATED DOCUMENTS

Below are the documents that have been uploaded

Document Type Document Title

Driver’s License (Front) Resized_20240124_140138_1706133947548.Pdf Driver’s License (Back) Resized_20240124_140146_1706133959312.Pdf Medical Certificate Resized_20240124_135953_1706133873783.Pdf TWIC Resized_20240124_140102_1706133916145.Pdf

5. FORMS

Below are the disclosure documents that have been uploaded Document Section Document Name

Disclosures & Authorizations Disclosure Regarding Background Investigation Disclosures & Authorizations Disclosure Regarding Investigative Background Investigation

Disclosures & Authorizations Acknowledgement and Authorization for Background Check

Disclosures & Authorizations Notice Regarding Background Checks Per California Law

Disclosures & Authorizations Summary of Rights Under the Fair Credit Reporting Act

Other Notices San Francisco Fair Chance Ordinance Notice Other Notices Other State Law Notices

Custom disclosures ABS Logistics LLC - CDAPS

DOT Documents Previous Pre-Employment Alcohol & Drug Test Statement

DOT Documents Consent to Conduct Queries of The FMCSA CDL D

& A Clearinghouse

DOT Documents Safety Performance History Request FMCSA Non- Ordering

DOT Documents Safety Performance History Request FMCSA Non- Ordering

I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23 (d) and (e). I understand that I have the right to:

* Review information provided by current previous employers;

* Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer; and

* Have a rebuttal statement attached to the alleged erroneous information if the previous employer(s) and I cannot agree on the accuracy of the information.

Applicant Certification

By clicking this box, I certify that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. This application is being completed for: ABS Logistics LLC 301 West Larch Rd, Tracy, CA 95304 ACKNOWLEDGEMENT FOR ELECTRONIC SIGNATURE

Your Name: Francisco Javier Molina

Your SSN's Last Four Numbers: 8805

* I acknowledge that my name and my (SSN/Last four SSN) which is displayed above, is accurate, and by checking the Acceptance Box, and by clicking on the “Next Document” Button below, I am electronically signing the above document.

* I understand that my electronic signature will be binding as though I had physically signed this document by hand. I agree that a printout of this authorization may be accepted with the same authority as the original. Signature:

Date: 3/5/2024

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