Request #: TS-******-D***Q, Completed: Jan **, ***3 6:52 AM PST
"This report does not guarantee the accuracy or truthfulness of the information as to the subject of the investigation, but only that it was accurately copied from public records. Information generated as a result of identity theft, including evidence of criminal activity, may be inaccurately associated with the consumer who is the subject of the report." California Consumers: You may view the file maintained on you by HireRight during normal business hours. You may also obtain a copy of this file, upon submitting proper identification and paying the costs of duplication services, by appearing at HireRight's offices in person, during normal business hours and on reasonable notice, or by mail; you may also receive a summary of the file by telephone upon written request with proper identification. HireRight has trained personnel available to explain your file to you, including any coded information. If you appear in person, you may be accompanied by one other person, provided that person furnishes proper identification. If you would like additional information regarding your disclosure rights, you can request this information from HireRight by e-mail at ***************@*********.***, by telephone at 866-521- 6995 or by mail at 100 Centerview Dr, Nashville, TN 37214.
"Este informe no garantiza la certeza ni la veracidad de la información en cuanto al sujeto de la investigación, pero sólo que fue copiado exactamente de archivos públicos. La información engendró a consecuencia del robo de la identidad, inclusive la evidencia de la actividad criminal, puede ser asociado inexactamente con el consumidor que es el sujeto del informe".
Los Consumidores de California: Usted puede ver el archivo mantenido en usted por HireRight durante horas de oficina normales. Usted puede obtener también una copia de este archivo, a someter identificación y pagar apropiados los costos de servicios de duplicación, apareciendo en oficinas de HireRight en la persona, durante horas de oficina normales y en la nota razonable, o por el correo; usted puede recibir también un resumen del archivo por teléfono sobre el pedido escrito con identificación apropiada. HireRight ha entrenado el personal disponible para explicarle su archivo a usted, inclusive información codificada. Si usted aparece en la persona, usted puede estar acompañado de uno otra persona, con tal de que persona proporcione identificación apropiada. Si usted querría información adicional con respecto a sus derechos de la revelación, usted puede solicitar esta información de HireRight por correo electrónico en ***************@*********.***, por teléfono en 866-***-**** o por el correo en 100 Centerview Dr, Nashville, TN 37214.
Request #: TS-011623-D482Q, Completed: Jan 16, 2023 6:52 AM PST Request #: TS-011623-D482Q
Turnaround time: 0 seconds
Package : Recruiting Package
Date Request Submitted : Jan 16, 2023 6:52 AM PST
Request Completion Date : Jan 16, 2023 6:52 AM PST Job Location : Groveland, Florida 34736, Lake, USA Thomas Edison Patten
Complete Report
Social Security Number: ***-**-****
DOB : Oct 5, 1960
Prepared By :
HireRight, LLC
14002 E. 21 st Street Suite 1200
Tulsa, OK 74134
Phone : 866-***-****
Fax : 877-***-****
***************@*********.***
Requested By :
Michelle Bruno
Carroll Fulmer Logistics Corp
8340 American Way
Groveland, FL 34736
Phone : 352-***-****
E-mail : ********.*****@*******.***
Request #: TS-011623-D482Q, Completed: Jan 16, 2023 6:52 AM PST DAC Employment History File
DAC Employment History File
Result: Data Found 1
Time Completed : Jan 16, 2023 6:52 AM PST
Information Used for Search
No Information available
No Information available
No Information available
Name: Patten, Thomas
Social Security Number: ***-**-****
Driving School Record
Period of Service Drug/Alcohol Disclosure
Pre-Employment Drug/Alcohol Disclosure
Activity Log
Activity Date/Time Performed By Recipient Result
Report Submitted Jan 16, 2023 6:52 AM PST Carroll Fulmer Logistics Corp 1 "Complete" indicates that this request has been processed to conclusion. Please review the report details in their entirety to evaluate any potential discrepancies or records related to this request. All times listed in America/Los_Angeles timezone
The Activity Log above may reflect activity for this screening report. E-mail notifications, if configured by the company that requested the report, may have been sent by or through HireRight to an authorized company-user (shown as the "Recipient"). Some adjudication history entries and related e-mail notifications, if any, indicate whether an initial determination was made regarding whether the report satisfied the company's hiring criteria (shown in the "Result" column), including any preliminary status Result of "Meets" or "Does Not Meet" company standards. Sometimes a company's final adjudication determination may change from its initial determination. Questions about the company's hiring decisions should be directed to the company. LEGAL NOTES:
This report contains personal information, and should be handled at all times in accordance with your Service Agreement with HireRight and applicable law. Proper use of the content of this report, and final verification of the named individual's identity, are your responsibility.
Request #: TS-011623-D482Q, Completed: Jan 16, 2023 6:52 AM PST
"This report does not guarantee the accuracy or truthfulness of the information as to the subject of the investigation, but only that it was accurately copied from public records. Information generated as a result of identity theft, including evidence of criminal activity, may be inaccurately associated with the consumer who is the subject of the report." California Consumers: You may view the file maintained on you by HireRight during normal business hours. You may also obtain a copy of this file, upon submitting proper identification and paying the costs of duplication services, by appearing at HireRight's offices in person, during normal business hours and on reasonable notice, or by mail; you may also receive a summary of the file by telephone upon written request with proper identification. HireRight has trained personnel available to explain your file to you, including any coded information. If you appear in person, you may be accompanied by one other person, provided that person furnishes proper identification. If you would like additional information regarding your disclosure rights, you can request this information from HireRight by e-mail at ***************@*********.***, by telephone at 866-521- 6995 or by mail at 100 Centerview Dr, Nashville, TN 37214.
"Este informe no garantiza la certeza ni la veracidad de la información en cuanto al sujeto de la investigación, pero sólo que fue copiado exactamente de archivos públicos. La información engendró a consecuencia del robo de la identidad, inclusive la evidencia de la actividad criminal, puede ser asociado inexactamente con el consumidor que es el sujeto del informe".
Los Consumidores de California: Usted puede ver el archivo mantenido en usted por HireRight durante horas de oficina normales. Usted puede obtener también una copia de este archivo, a someter identificación y pagar apropiados los costos de servicios de duplicación, apareciendo en oficinas de HireRight en la persona, durante horas de oficina normales y en la nota razonable, o por el correo; usted puede recibir también un resumen del archivo por teléfono sobre el pedido escrito con identificación apropiada. HireRight ha entrenado el personal disponible para explicarle su archivo a usted, inclusive información codificada. Si usted aparece en la persona, usted puede estar acompañado de uno otra persona, con tal de que persona proporcione identificación apropiada. Si usted querría información adicional con respecto a sus derechos de la revelación, usted puede solicitar esta información de HireRight por correo electrónico en ***************@*********.***, por teléfono en 866-***-**** o por el correo en 100 Centerview Dr, Nashville, TN 37214.
Request #: TS-011623-D482Q, Completed: Jan 16, 2023 6:52 AM PST Request #: TS-011623-D482Q
Turnaround time: 0 seconds
Package : Recruiting Package
Date Request Submitted : Jan 16, 2023 6:52 AM PST
Request Completion Date : Jan 16, 2023 6:52 AM PST Job Location : Groveland, Florida 34736, Lake, USA Thomas Edison Patten
Complete Report
Social Security Number: ***-**-****
DOB : Oct 5, 1960
Prepared By :
HireRight, LLC
14002 E. 21 st Street Suite 1200
Tulsa, OK 74134
Phone : 866-***-****
Fax : 877-***-****
***************@*********.***
Requested By :
Michelle Bruno
Carroll Fulmer Logistics Corp
8340 American Way
Groveland, FL 34736
Phone : 352-***-****
E-mail : ********.*****@*******.***
Request #: TS-011623-D482Q, Completed: Jan 16, 2023 6:52 AM PST Transportation Employment History
Transportation Employment History
2subrequests
1. Result : Data Found 1
Time Completed : Jan 16, 2023 6:52 AM PST
Information on Database Record
Previous Employer
Work Record
A seven year period has elapsed since employment ended; it is prohibited to disclose, work record, eligibility for re- hire, reason for leaving, accident information and drug/alcohol information. Name: PATTEN T
Social Security Number: ***-**-****
DOB: 10/05/1960
Employment Record Owner: USA Truck Inc - Personnel Storing records for:
Address: 3200 Industrial Park Rd Van Buren, AR 72956 Phone: 479-***-****
Original Data Received on: 08/07/2014
Period of Service From / To Date: 07/2014 - 08/2014 License Number: US-FL, P350825603650
Status (Driver): Student/Trainee
Driver's Experience: Over the Road
Equipment Operated: Dry Box
Loads Hauled: Gen. Commodity
Request #: TS-011623-D482Q, Completed: Jan 16, 2023 6:52 AM PST 2. Result : Data Found 1
Time Completed : Jan 16, 2023 6:52 AM PST
Information on Database Record
Previous Employer
Work Record
Accident/Incident History Summary
NOTE: If this company has reported any accidents/incidents to HireRight related to this driver for the relevant timeframe, the number of such accidents/incidents will be listed in the fields below, classified as either: DOT Recordable - for those accidents that meet the U.S. Department of Transportation's (DOT) definition for an "Accident" as set forth in Section 390.5 of the Federal Motor Carrier Safety Regulations (49 CFR 390.5); OR Non DOT Recordable - for those accidents/incidents that do not meet the DOT Recordable definition referenced above, but where equipment was involved in an occurrence or act that produced unintended injury, death, property damage of any type, or resulted in the equipment requiring a tow (other than mechanical breakdown) while assigned to the driver, regardless of fault. Name: PATTEN THOMAS
Social Security Number: ***-**-****
DOB: 10/05/1960
Employment Record Owner: Daniel Moving Systems, Inc Storing records for:
Address: 6025 LaGrange Blvd Atlanta, GA 30336
Phone: 404-***-****
Fax: 404-***-****
Original Data Received on: 11/09/2017
Period of Service From / To Date: 02/2017 - 03/2018 License Number: US-GA, 060088286
Eligible for Rehire: Review Required Before Rehiring Reason for Leaving: Discharged (or Company Cancelled Lease) Status (Driver): Company Driver
Driver's Experience: Regional
Equipment Operated: Specialized Trailer
Straight Truck
Loads Hauled: Household Goods
Work Record: Company Policy Violation
Request #: TS-011623-D482Q, Completed: Jan 16, 2023 6:52 AM PST Inclusion of an accident/incident in either of the above-referenced categories is not an indication of whether such accident/incident involved a citation and/or a law enforcement investigation. Adverse accident/incident history information is reported by HireRight for up to 7 years. If the entry below is "0", then no such records have been reported to HireRight by this company for the particular category for the relevant timeframe. Number of DOT Recordable accidents less than 7 years old: 1 Number of Non DOT Recordable accidents/incidents less than 7 years old: 0 No additional accident/incident information available Accident/Incident #1
Date: 10/17/2017
DOT Recordable: Yes
City, State: PHENIX CITY, US-AL
Injuries: 0
Fatalities: 0
HAZMAT: No
Description: Backing
Hit Parked Vehicle/Stopped Vehicle
Activity Log
Activity Date/Time Performed By Recipient Result
Report Submitted Jan 16, 2023 6:52 AM PST Carroll Fulmer Logistics Corp 1 "Complete" indicates that this request has been processed to conclusion. Please review the report details in their entirety to evaluate any potential discrepancies or records related to this request. All times listed in America/Los_Angeles timezone
The Activity Log above may reflect activity for this screening report. E-mail notifications, if configured by the company that requested the report, may have been sent by or through HireRight to an authorized company-user (shown as the "Recipient"). Some adjudication history entries and related e-mail notifications, if any, indicate whether an initial determination was made regarding whether the report satisfied the company's hiring criteria (shown in the "Result" column), including any preliminary status Result of "Meets" or "Does Not Meet" company standards. Sometimes a company's final adjudication determination may change from its initial determination. Questions about the company's hiring decisions should be directed to the company. LEGAL NOTES:
This report contains personal information, and should be handled at all times in accordance with your Service Agreement with HireRight and applicable law. Proper use of the content of this report, and final verification of the named individual's identity, are your responsibility.