DISCLOSURE AND AUTHORIZATION REGARDING BACKGROUND INVESTIGATION FOR

EMPLOYMENT PURPOSES

Disclosure

Speedway LLC (the "Company") may request's from a consumer reporting agency and for employment-related purposes, a

"consumer report(s)" (commonly known as "background reports") containing background information about you in connection with your employment, or application for employment, or engagement for services (including independent contractor or volunteer assignments, as applicable).

General Information Solutions LLC, a HireRight company ("HireRight") will prepare or assemble the background reports for the Company. HireRight is located and can be contacted at P.O. Box 353, Chapin, SC 29036, 866-***-****, www.hireright.com. The background report(s) may contain information concerning your character, general reputation, personal characteristics, mode of living, or credit standing. The types of background information that may be obtained include, but are not limited to: criminal history; litigation history; motor vehicle record and accident history; social security number verification; address and alias history; credit history; verification of your education, employment and earnings history; professional licensing, credential and certification checks; drug/alcohol testing results and history; military service; and other information. Authorization

I hereby authorize Company to obtain the consumer reports described above about me. Applicant Name

Applicant Signature Date