Linde Inc

** ********* **.

Danbury, CT *****

833-***-****

**-**-**** *:46:29PM CDT

IntelliApp

Thank you for your interest in Linde Inc. 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.

Active Jobs

Job Name LaPorte, TX CDL A Tanker PPS

Job Title CDL A PPS Driver- LaPorte, TX

Personal Information

Referral Code: jp_indeed_smt

Name Sharon Elaine Randle

Current Address 15115 Mesa Dr 235

Address 2 235

City, State/Province Zip/Postal Humble, TX 77396

Country United States

Residence 3 years or longer (If No,

previous addresses shown below)

Yes

SSN/SIN 9703

Date of Birth

Primary Phone 409-***-****

Email adxnmf@r.postjobfree.com

Yes, I agree to receive information

concerning future opportunities or

promotions from Linde Inc by email or

other commercial electronic

communications.

Yes

Would you like to receive communication

from Linde Inc 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

Yes

1

of being hired, contracted, or leased. You

may opt out at any time by texting STOP to

unsubscribe. You also agree that Linde

Inc's service provider receives in real time

and logs your text messages with Linde

Inc.

Company Questions

GENERAL INFORMATION

Are you legally eligible for employment in

the United States?

Yes

Are you currently employed? Yes

What date did your last employment end?

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?

Yes

Enter name: Sharon Soloman

How did you hear about us? Indeed

If "Employee Referral", please enter the

employee's name

If "Other", please explain

DRIVING EXPERIENCE

Straight Truck: Years of Experience 7-8 years

Straight Truck: Approximate number of

miles

900000

Tractor and Semi-Trailer: Years of

Experience

7-8 years

Tractor and Semi-Trailer: Approximate

number of miles

900000

Tanker: Years of Experience Less than 1 year

Tanker: Approximate number of miles 50000

Other Reefer, Dry Van, Intermodal, End Dump,

Automatic or Manual

2

Licenses

License Number 682

Licensing Authority TX

Country US

License Class Class A

License Expiration Date 10-24-2025

Physical Expiration Date 05-03-2023

Current License Yes

Commercial Driver License Yes

Endorsements

Tanker Endorsement Yes

HAZMAT Endorsement Yes

Hazmat Expiration Date 10-22-2025

X Endorsement Yes

Doubles Triples Endorsement No

Other Endorsement No

Employment / Unemployment

Pulido Transport, Lp

Company Pulido Transport, Lp

Start Date 04-2022

End Date 05-2023

Address 940 Kelly Smith Ln

City, State/Province Zip/Postal Buda, TX 78610

Country United States

Phone 512-***-****

Position Held Local driver

Reason for leaving? Moving back to Houston

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

Yes

3

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

Did you perform any safety sensitive

functions in this job, regulated by DOT, and

subject to drug and alcohol testing?

Yes

Areas Driven Local

Miles driven weekly

Pay Range (cents/mile)

Most common truck driven Day Cab

Most common trailer Other

Trailer length 45 to 52 feet

USXPRESS

Company USXPRESS

Start Date 01-2022

End Date 03-2022

Address

City, State/Province Zip/Postal New Caney, TX 77388 Country United States

Phone 423-***-****

Position Held Local driver

Reason for leaving? Moved to Round Rock

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 Local

Miles driven weekly 1000-1500

Pay Range (cents/mile)

4

Most common truck driven Tractor-Trailer

Most common trailer Reefer Trailer

Trailer length 53 feet or more

Swift Academy

Company Swift Academy

Start Date 07-2021

End Date 12-2021

Address 2200 S. 75th Ave.

City, State/Province Zip/Postal Phoenix, AZ 85043

Country United States

Phone 800-***-****

Position Held Local driver

Reason for leaving? Did not like intermodal division 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 Local

Miles driven weekly 1000-1500

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Container

Trailer length 53 feet or more

Kandel Transport Inc.

Company Kandel Transport Inc.

Start Date 04-2021

End Date 06-2021

Address 365 Munroe Falls Road

5

City, State/Province Zip/Postal Tallmadge, OH 44278 Country United States

Phone 330-***-****

Position Held OTR Driver

Reason for leaving? Did not like teaming

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 OTR

Miles driven weekly 3000-3500

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Reefer Trailer

Trailer length 53 feet or more

Poly Trucking Inc

Company Poly Trucking Inc

Start Date 06-2020

End Date 03-2021

Address 2000 West Marshall Drive

City, State/Province Zip/Postal Grand Prarie, TX 75051 Country United States

Phone 877-***-****

Fax 972-***-****

Position Held OTR Driveri

Reason for leaving? Personal

Were you terminated/discharged/laid off? No

Is this your current employer? No

6

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 OTR

Miles driven weekly 2500-3000

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Van

Trailer length 53 feet or more

Crst

Company Crst

Start Date 04-2020

End Date 05-2020

Address

City, State/Province Zip/Postal Cedar Rapids, IA

Country United States

Phone 800-***-****

Fax 319-***-****

Position Held OTR Driveri

Reason for leaving? Better Opportunity

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

7

Did you perform any safety sensitive

functions in this job, regulated by DOT, and

subject to drug and alcohol testing?

Areas Driven OTR

Miles driven weekly 3000-3500

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Van

Trailer length 53 feet or more

R E Garrison Trucking

Company R E Garrison Trucking

Start Date 12-2019

End Date 03-2020

Address P.O.BOX 890

City, State/Province Zip/Postal Cullman, AL 35056

Country United States

Phone 256-***-****

Fax 256-***-****

Position Held OTR Driveri

Reason for leaving? Better Opportunity

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 OTR

Miles driven weekly 2000-2500

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

8

Most common trailer Van

Trailer length 53 feet or more

Alden Logistics

Company Alden Logistics

Start Date 07-2019

End Date 11-2019

Address 2810 Louetta Rd

Address 2 Ste 11

City, State/Province Zip/Postal Spring, TX 77388

Country United States

Phone 713-***-****

Position Held OTR Driveri

Reason for leaving? Better Opportunity

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 OTR

Miles driven weekly 2000-2500

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Container

Trailer length 45 to 52 feet

Mangat Trucking

Company Mangat Trucking

Start Date 12-2018

End Date 06-2019

Address Lamppost

9

City, State/Province Zip/Postal Houston, TX

Country United States

Phone

Position Held OTR Driver

Reason for leaving? Better Opportunity

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 OTR

Miles driven weekly 2500-3000

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Reefer Trailer

Trailer length 53 feet or more

Summitt Trucking

Company Summitt Trucking

Start Date 07-2018

End Date 06-2019

Address 1800 Progress Way

City, State/Province Zip/Postal Clarksville, IN 47129 Country United States

Phone 812-***-****

Fax 812-***-****

Position Held OTR Driveri

Reason for leaving? Better Opportunity

Were you terminated/discharged/laid off? No

Is this your current employer? No

10

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 OTR

Miles driven weekly 2500-3000

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Reefer Trailer

Trailer length 53 feet or more

Quality Carriers

Company Quality Carriers

Start Date 05-2018

End Date 06-2018

Address 1208 East Kennedy Blvd. Suite

City, State/Province Zip/Postal Tampa, FL 33602

Country United States

Phone 800-***-****

Fax 813-***-****

Position Held OTR Driveri

Reason for leaving? Better Opportunity

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

11

Did you perform any safety sensitive

functions in this job, regulated by DOT, and

subject to drug and alcohol testing?

Areas Driven OTR

Miles driven weekly 2000-2500

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Tank Trailer

Trailer length 45 to 52 feet

Guillory Trucking

Company Guillory Trucking

Start Date 02-2018

End Date 04-2018

Address

City, State/Province Zip/Postal Port Arthur, TX

Country United States

Phone

Position Held OTR Driveri

Reason for leaving? Personal

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 California to Florida

Miles driven weekly 2000-2500

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Reefer Trailer

12

Trailer length 53 feet or more

Unemployment

Start Date 09-2016

End Date 01-2018

Comment Leave of absence

US Xpress

Company US Xpress

Start Date 06-2016

End Date 09-2016

Address 4080 Jenkins Road

City, State/Province Zip/Postal Chattanooga, TN 37421 Country United States

Phone 800-***-****

Position Held OTR Driver

Reason for leaving? Went local

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 OTR

Miles driven weekly 2500-3000

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Reefer Trailer

Trailer length 53 feet or more

Total Transportation Of Loudon Tn

Company Total Transportation Of Loudon Tn

Start Date 03-2016

13

End Date 06-2016

Address

City, State/Province Zip/Postal Loudon, TN

Country United States

Phone 865-***-****

Position Held OTR Driver

Reason for leaving? Went to sister company US xpress 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 OTR

Miles driven weekly 2000-2500

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Reefer Trailer

Trailer length 53 feet or more

Celadon Trucking Services

PLEASE DO NOT CONTACT

Company Celadon Trucking Services

Start Date 06-2015

End Date 03-2016

Address 9503 E 33rd Street

City, State/Province Zip/Postal Indianapolis, IN 46235 Country United States

Phone 317-***-****

Position Held OTR Driver

Reason for leaving? Better Opportunity

14

Were you terminated/discharged/laid off? No

Is this your current employer? No

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 OTR

Miles driven weekly 2000-2500

Pay Range (cents/mile)

Most common truck driven Tractor-Trailer

Most common trailer Reefer Trailer

Trailer length 53 feet or more

Advance America

Company Advance America

Start Date 06-2010

End Date 03-2015

Address 409 Sheldom Rd

City, State/Province Zip/Postal Channelview, TX

Country United States

Phone

Position Held Manager

Reason for leaving? Different Opportunity

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?

No

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while employed/contracted by

this employer/contractor?

15

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

Most common trailer

Trailer length

Trucking School

Start Date 04-2015

End Date 06-2015

School Quality

Address

Address 2

City, State/Province Laredo, TX

Country US

Phone

Did you graduate? Yes

Were you subject to the Federal Motor

Carrier or Transport Canada Safety

Regulations while attending this truck

school?

Yes

Did you perform any safety sensitive

functions at this truck school, regulated by

DOT, and subject to drug and alcohol

testing?

Yes

GPA

Hours of Instruction

Border Crossing Yes

Log Books Yes

Federal Motor Carrier Regulations Yes

Hazardous Materials Yes

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)]

No

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

·

Leaving the scene of an accident

while operating a commercial motor

vehicle

·

Or any other felony involving the

use of a commercial motor vehicle

·

No

17

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

Signature

Full Name Sharon Elaine Randle

IP Address 72.177.63.43

Signature Date/Time 05-30-2023 7:46 PM

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

Signed Date: 05-30-2023 7:46 PM

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

18

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

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

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

19

1681m

By checking this box, I represent that I

understand and agree to the above

document.

Yes

INVESTIGATIVE CONSUMER REPORT DISCLOSURE

By checking this box, I represent that I

understand and agree to the above

document.

Yes

User Requested Copy

User requested a copy to be sent to this

email address adxnmf@r.postjobfree.com.

Yes

20

DISCLOSURE FOR CONSUMER REPORTS

In connection with your employment or owner-operator (independent contractor) application, Linde Inc and/or Asurint 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:

Sharon Elaine Randle

Social Security #:

9703

Signed Date: 05-30-2023

Sharon Elaine Randle

15115 Mesa Dr 235

235

Humble, TX 77396

409-***-****

Gender:

21

AUTHORIZATION FOR CONSUMER REPORTS

I authorize Linde Inc and/or Asurint 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:

Sharon Elaine Randle

Social Security #:

9703

Signed Date: 05-30-2023

Sharon Elaine Randle

15115 Mesa Dr 235

235

Humble, TX 77396

409-***-****

Gender:

22

IMPORTANT DISCLOSURE

REGARDING BACKGROUND REPORTS FROM THE PSP Online Service In connection with your application for employment with Linde Inc ("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 report. The Prospective Employer cannot obtain background reports from FMCSA without your authorization. AUTHORIZATION

If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below: I authorize Linde Inc ("Prospective Employer") to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I understand that I am authorizing the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years. I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee.

I further understand that 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. I understand I

Contact this candidate