Driver License A Commercial

Hi Grade materials

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

760-***-****

*-*-** ******* **-12-24

Bender ready mix

*** *. ***** ** **. Santa Ana

714-***-****

**-**-** ******* *-1-24

Hi Grade materials

17671 bear Valley rd. Hesperia

760-***-****

9-10-14 through 10-4-20

A1371957 END. TN

Exp 5-26-29

Med. Exp 2-28-25

Driver History Report

Print

CALIFORNIA DEPARTMENT OF MOTOR VEHICLES

***CUSTOMER RECEIPT COPY***

DRIVER LICENSE/IDENTIFICATION CARD

INFORMATION REQUEST

12/31/2024

"

DATE:12-31-24*TIME:15:11*

DL/NO:A1371957*

B/D:05-26-1971*NAME:GATES,ROBERT RANDALE*

IDENTIFYING INFORMATION:

SEX:MALE*HAIR:BROWN*EYES:GRN*HT:5-09*WT:170*

LIC/ISS:05-13-24* EXP:05-26-29*RBM1*CLASS:A COMMERCIAL & M1 MOTORCYCLE*

ENDORSEMENTS:

DOUBLES/TRIPLES,TANK VEHICLE*

MEDICAL EXPIRES:02-28-25*

MEDICAL CERTIFICATE INFORMATION:

ISSUE DATE: 02-28-23 EXPIRATION DATE: 02-28-25

STATUS CODE: C

MED EXAMINER NUMBER: CA 15659

"

MED REGISTRY NUMBER: 984-***-****

SPECIALTY: CH MED EXAMINER PHONE NUMBER: 760-***-****

MED EXAMINER NAME:

LAST NAME: TWOGOOD

FIRST NAME: DANIEL

MIDDLE NAME: A

MED CERT RESTRICTIONS: NONE

SPE EFF DATE: NONE

DRIVER WAIVER TYPE: NONE

SELF CERTIFICATION INFORMATION:

SELF CERTIFICATION CODE: NI

COMMERCIAL LICENSE STATUS:

VALID*

LICENSE STATUS:

"

VALID*

DEPARTMENTAL ACTIONS:

NONE*

CONVICTIONS:

NONE*

FAILURES TO APPEAR:

NONE*

ACCIDENTS:

NONE*

END

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