DRIVER/VEHICLE EXAMINATION REPORTkstp.com/kstpImages/repository/cs/files/inspections1.pdf ·...

DRIVER/VEHICLE EXAMINATION REPORTReport Number: MN0ABD001646

6/16/2017Inspection Date:Time Started: 07:5007:30 Time Ended:Inspection Level:

MN Department of TransportationCommercial Vehicle Section1110 Centre Pointe Curve, Suite 410Mendota Heights, MN 55120Phone: (651) 215-6330 Fax: (651)405-6199

Certification Date:

No HM Inspection

VII - Jurisdictional Mandated

HM Inspection Type:

Driver:MNState:License #:

Date of Birth:

A-TRAN LLC

ROSEMOUNT, MN 55068

Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02409827

374584

Location:

ONE W/CCargo:

MilePost:Origin:

RICHFIELDASHBY, MNHighway:

County: Destination:CEDAR

RICHFIELD, MNHENNEPINShipper:

Bill of Lading: N/A

VEHICLE IDENTIFICATION:Unit Type Make Year Equipment IDLicense#State CVSA Issued # Unit VIN GVWR OOS Stkr.#CVSA #

VN DODG 2015 BY83736MN 6,0502C4RDGBG8FR6431751

BRAKE ADJUSTMENTS:

RightLeft

N/AN/A

HYDRChamber

Axle # 1

N/AN/A

HYDR

2

VIOLATIONS :

Violation DescriptionCrashVerify*NumberOOSUnitSectionVio CodeState Citation

1 No/defective flashlight: flashlight in-op, needs batteriesN392.2 N N8840.5925S1D

* N - Non-OOS or Driver OOS Violation

HazMat: No HM Transported. Cargo Tank:Placard: NA

Alcohol/Controled Substance Check Traffic Enforcement

Conducted by Local Jurisdiction

Drug Interdiction SearchSize and Weight Enforcement

Post Crash Inspection

Arrests:

PASA Conducted Inspection PBBT Inspection

Special Checks:

EScreening

Locally Defined Fields:10% First Haul: No;E-mail dvs.weight.violations: No;IFTA Violation: No;IRP Violation: No;IFTA Blitz Inspection: No;TOWED FOR SUSPENDED/REVOKED DL: No;FATALITY WITHIN 30 DAYS: No;INJURY TREATED AWAY FROM SCENE: No;TOWED FOR DISABLING DAMAGE: No;3209 - RED DYED FUEL CHECK: No;3203 - BORDER GRANT INSPECTION: No;TOWED FOR NO INSURANCE: No;DURING OTR NOT REG SHIFT : No;DEPT. OF AG TEMP CHECK: No;3215 - HIGH PRIORITY GRANT: No;5002 - TRUCK WEIGHED MOBILE: No;5017 - MOBILE BILL CHECKED: No;5019 - HEIGHT CHECKED: No;DVS: No;9 Ton Route: No;10 Ton Route: No;Restricted Route: No;4%: No;5% Forest Products: No;25%: No;2010 - SHIFT LOAD: No;2020 - UNLOADED: No

Report Prepared By: Copy Received By:Badge #:

674

X X

J. COBB

MN0ABD001646

Page 1 of 2



MN Department of TransportationCommercial Vehicle Section1110 Centre Pointe Curve, Suite 410Mendota Heights, MN 55120Phone: (651) 215-6330 Fax: (651)405-6199

Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:

A-TRAN LLC

ROSEMOUNT, MN 55068

Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02409827

374584Pursuant to MN Rule 7470.0600, this school bus with defects with a "Y" in the "OOS" column of this report Out-of Service indicating defects with more than 20 points were found. In addition if the combined point off value is more than 20 points this school bus is Out-of-Service. It is unlawful to transport school pupils in this school bus unless equipment defects listed on this school bus inspection report have been corrected and corrections certified by the Owner/Designee. The signed copy of this school bus inspection report must be carried in the First Aid Kit .

Owner/Designee: Please sign the report verifying all defects have been repaired.

Signature________________________________________________________

Pursuant to MN Rule 7470.0600 a school bus displaying a 14 day temporary inspection certificate may be used to transport children past the 14 days if the Owner or a Designee signs the inspection report certifying that all defects have been corrected. The signed report shall be carried in the first aid kit until the MN State Patrol reinspects the school bus.


Signature________________________________________________________

NOTE: Drivers or carriers may challenge the accuracy or validity of a commercial vehicle inspection, including the issuance of an Out of Service Order, by contacting the Federal Motor Carrier Safety Administration (FMCSA) at: https://dataqs.fmcsa.dot.gov.

If your citation for a fatigue and/or illness violation is dismissed by a prosecutor or judge for lack of probable cause, or you are acquitted of the charge, you can make application through the DataQ system to have the related out of service order rescinded.

Signature of Carrier Official: X Date:


674

X X

J. COBB

MN0ABD001646

Page 2 of 2



MN Department of TransportationCommercial Vehicle Section1110 Centre Pointe Curve, Suite 410Mendota Heights, MN 55120Phone: (651)405-6196 Fax: (651)405-6199

Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:

A.C.E.D.J. TRANSPORTATION LLC

COTTAGE GROVE, MN 55016

Phone #:Fax #:

USDOT #: MC/MX #:

State #: 381471

Location:

ONE W/CCargo:

MilePost:Origin:

RICHFIELD

RICHFIELD, MNHighway:County: Destination:

CEDAR

RICHFIELD, MNHENNEPIN

Shipper:

Bill of Lading: N/A


VN TOYT 2014 PENDINGMN 5,9955TDKK3DC2ES4111711

BRAKE ADJUSTMENTS:

Right

Left

N/A

N/A

HYDRChamber

Axle # 1

N/A

N/A

HYDR

2

VIOLATIONS : No violations were discovered.






Arrests:


Special Checks:

EScreening



674

X X

J. COBB

MN0ABD001500

Page 1 of 2




Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:



Phone #:Fax #:

USDOT #: MC/MX #:

State #: 381471Pursuant to MN Rule 7470.0600, this school bus with defects with a "Y" in the "OOS" column of this report Out-of Service indicating defects with more than 20 points were found. In addition if the combined point off value is more than 20 points this school bus is Out-of-Service. It is unlawful to transport school pupils in this school bus unless equipment defects listed on this school bus inspection report have been corrected and corrections certified by the Owner/Designee. The signed copy of this school bus inspection report must be carried in the First Aid Kit .


Signature________________________________________________________



Signature________________________________________________________





674

X X

J. COBB

MN0ABD001500

Page 2 of 2



MN Department of TransportationCommercial Vehicle Section395 John Ireland Blvd. Mail Stop 420St. Paul, MN 55155-1800651-215-6330

Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:



Phone #:Fax #:

USDOT #: MC/MX #:

State #: 381471

Location:

TWO W/CCargo:

MilePost:Origin:

GOLDEN VALLEY

COTTAGE GROVE, MNHighway:County: Destination:

100

GOLDEN VALLEY, MNHENNEPIN

Shipper:

Bill of Lading: N/A


VN DODG 2014 202980XNJMN 6,8002C4JRGAG0ER3117631

BRAKE ADJUSTMENTS:

Right

Left

N/A

N/A

HYDRChamber

Axle # 1

N/A

N/A

HYDR

2







Arrests:


Special Checks:

EScreening



674

X X

J. COBB

MN0ABD001750

Page 1 of 2



MN Department of TransportationCommercial Vehicle Section395 John Ireland Blvd. Mail Stop 420St. Paul, MN 55155-1800651-215-6330

Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:



Phone #:Fax #:

USDOT #: MC/MX #:



Signature________________________________________________________



Signature________________________________________________________





674

X X

J. COBB

MN0ABD001750

Page 2 of 2

DRIVER/VEHICLE EXAMINATION REPORTReport Number: MN0ABX000579



Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:

AAM TRANSPORT LLC

MINNEAPOLIS, MN 55454

Phone #:Fax #:

USDOT #: MC/MX #:

State #: 380611

Location:

EMPTYCargo:

MilePost:Origin:

RICHFIELDRICHFIELD, MNHighway:

County: Destination:1912 E 66TH ST


Bill of Lading:

CARRIER


VN TOYT 2015 072RJDMN 5,9955TDKK3DC8FS5381701

BRAKE ADJUSTMENTS: No brake measurements recorded.







Arrests:


Special Checks:

EScreening


Pursuant to MN Rule 7470.0600, this school bus with defects with a "Y" in the "OOS" column of this report Out-of Service indicating defects with more than 20 points were found. In addition if the combined point off value is more than 20 points this school bus is Out-of-Service. It is unlawful to transport school pupils in this school bus unless equipment defects listed on this school bus inspection report have been corrected and corrections certified by the Owner/Designee. The signed copy of this school bus inspection report must be carried in the First Aid Kit .


Signature________________________________________________________



Signature________________________________________________________





672

X X

A, KASELLA

MN0ABX000579

Page 1 of 2




Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:

AAM TRANSPORT LLC


Phone #:Fax #:

USDOT #: MC/MX #:

State #: 380611


672

X X

A, KASELLA

MN0ABX000579

Page 2 of 2




Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:

AAM TRANSPORT LLC


Phone #:Fax #:

USDOT #: MC/MX #:

State #: 380611

Location:

EMPTYCargo:

MilePost:Origin:

RICHFIELDRICHFIELD, MNHighway:

County: Destination:FIRST BLDG CEDAR/66TH ST


Bill of Lading:

CARRIER


VN TOYT 2015 21171UEHMN 5,9955TDKK3DC9FS5587351


VIOLATIONS :


1 Violation of Local Laws - Explain:: NO LEASE AGREEMENTN392.2 N N392.21 Violation of Local Laws - Explain:: 8840.5925 NO STS NUMBER

DISPLAYEDN392.2 N N392.2

1 No/discharged/unsecured fire extinguisher: UNSECURED FIRE EXTINGUISHER IN LEFT REAR POCKET

N393.95(a) N N393.95A







Arrests:


Special Checks:

EScreening



MN0672

X X

ANTON KASELLA

MN0ABX000608

Page 1 of 2




Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:

AAM TRANSPORT LLC


Phone #:Fax #:

USDOT #: MC/MX #:



Signature________________________________________________________



Signature________________________________________________________





MN0672

X X

ANTON KASELLA

MN0ABX000608

Page 2 of 2

DRIVER/VEHICLE EXAMINATION REPORTReport Number: MN0ABY000938


Minnesota Department of Transportation, OFCVOCommercial Vehicle Section395 John Ireland BlvdSt Paul MN 55155-1800Phone (651) 215-6330

Certification Date:

No HM Inspection


HM Inspection Type:

Driver:State:License #:

Date of Birth:

AAM TRANSPORT LLC


Phone #:Fax #:

USDOT #: MC/MX #:

State #: 380611

Location:

PASSENGER 1 W/.CCargo:

MilePost:Origin:

RICHFIELDMINNEAPOLIS, MNHighway:

County: Destination: MINNEAPOLIS, MNHENNEPINShipper:

Bill of Lading:

CARRIER


VN DODG 2008 418UWDMN 6,0501D8HN44H18B1945181

BRAKE ADJUSTMENTS:

RightLeft

N/AN/A

HYDRChamber

Axle # 1

N/AN/A

HYDR

2







Arrests:


Special Checks:

EScreening



673

X X

R. BAILEY

MN0ABY000938

Page 1 of 2

DRIVER/VEHICLE EXAMINATION REPORTReport Number: MN0ABY000938


Minnesota Department of Transportation, OFCVOCommercial Vehicle Section395 John Ireland BlvdSt Paul MN 55155-1800Phone (651) 215-6330

Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:

AAM TRANSPORT LLC


Phone #:Fax #:

USDOT #: MC/MX #:



Signature________________________________________________________



Signature________________________________________________________





673

X X

R. BAILEY

MN0ABY000938

Page 2 of 2

DRIVER/VEHICLE EXAMINATION REPORTReport Number: MN0ABL000844


Minnesota Department of Transportation

Commercial Vehicle Section

1110 Centre Pointe Curve, Suite 410

Mendota Heights, MN 55120

Phone: (651)405-6196 Fax: (651)405-6199

Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:

ABBY SPECIAL CARE TRANSPORTATION LLC

COON RAPIDS, MN 55448

Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02822689

376800

Location:

2 W/CCargo:

MilePost:Origin:

RICHFIELD


MNDOT CEDAR SHOP


Shipper:

Bill of Lading:


VN DODG 2008 BY81521MN 6,0502D8HN44H78R1475271

BRAKE ADJUSTMENTS:

Right

Left

N/A

N/A

HYDRChamber

Axle # 1

N/A

N/A

HYDR

2







Arrests:


Special Checks:

EScreening

Locally Defined Fields:10% First Haul: No;E-mail dvs.weight.violations: No;IFTA Violation: No;IRP Violation: No;IFTA Blitz Inspection: No;TOWED FOR

SUSPENDED/REVOKED DL: No;FATALITY WITHIN 30 DAYS: No;INJURY TREATED AWAY FROM SCENE: No;TOWED FOR DISABLING

DAMAGE: No;3209 - RED DYED FUEL CHECK: No;3203 - BORDER GRANT INSPECTION: No;TOWED FOR NO INSURANCE: No;DURING OTR

NOT REG SHIFT : No;DEPT. OF AG TEMP CHECK: No;3215 - HIGH PRIORITY GRANT: No;5002 - TRUCK WEIGHED MOBILE: No;5017 -

MOBILE BILL CHECKED: No;5019 - HEIGHT CHECKED: No;DVS: No;9 Ton Route: No;10 Ton Route: No;Restricted Route: No;4%: No;5% Forest

Products: No;25%: No;2010 - SHIFT LOAD: No;2020 - UNLOADED: No


679

X X

C. LUDGATE

MN0ABL000844

Page 1 of 2







Phone: (651)405-6196 Fax: (651)405-6199

Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:



Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02822689

376800

Pursuant to MN Rule 7470.0600, this school bus with defects with a "Y" in the "OOS" column of this report Out-of Service indicating defects with more than

20 points were found. In addition if the combined point off value is more than 20 points this school bus is Out-of-Service. It is unlawful to transport school

pupils in this school bus unless equipment defects listed on this school bus inspection report have been corrected and corrections certified by the

Owner/Designee. The signed copy of this school bus inspection report must be carried in the First Aid Kit .


Signature________________________________________________________

Pursuant to MN Rule 7470.0600 a school bus displaying a 14 day temporary inspection certificate may be used to transport children past the 14 days if the

Owner or a Designee signs the inspection report certifying that all defects have been corrected. The signed report shall be carried in the first aid kit until

the MN State Patrol reinspects the school bus.


Signature________________________________________________________

NOTE: Drivers or carriers may challenge the accuracy or validity of a commercial vehicle inspection, including the issuance of an Out of Service Order, by

contacting the Federal Motor Carrier Safety Administration (FMCSA) at: https://dataqs.fmcsa.dot.gov.

If your citation for a fatigue and/or illness violation is dismissed by a prosecutor or judge for lack of probable cause, or you are acquitted of the charge, you

can make application through the DataQ system to have the related out of service order rescinded.



679

X X

C. LUDGATE

MN0ABL000844

Page 2 of 2







Phone: (651)405-6196 Fax: (651)405-6199

Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:



Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02822689

376800

Location:

0 W/CCargo:

MilePost:Origin:

RICHFIELD


MNDOT CEDAR SHOP


Shipper:

Bill of Lading:


VN CHRY 2008 022WPZMN 6,0502A8HR54P18R1396571

BRAKE ADJUSTMENTS:

Right

Left

N/A

N/A

HYDRChamber

Axle # 1

N/A

N/A

HYDR

2







Arrests:


Special Checks:

EScreening








679

X X

C. LUDGATE

MN0ABL000850

Page 1 of 2







Phone: (651)405-6196 Fax: (651)405-6199

Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:



Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02822689

376800






Signature________________________________________________________





Signature________________________________________________________







679

X X

C. LUDGATE

MN0ABL000850

Page 2 of 2

DRIVER/VEHICLE EXAMINATION REPORTReport Number: MN0ABP001022


MN Department of Transportation




Phone: (651) 215-6330 Fax: (651)405-6199

Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:



Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02822689

376800

Location:

PASSENGERCargo:

MilePost:Origin:

RICHFIELD

COON RAPIDS, MNHighway:County: Destination:

CEDAR


Shipper:

Bill of Lading: NA


VN DODG 2007 NA518MRUMN 6,0502D4GP44L37R1813281

BRAKE ADJUSTMENTS:

Right

Left

N/A

N/A

HYDRChamber

Axle # 1

N/A

N/A

HYDR

2







Arrests:


Special Checks:

EScreening








678

X X

M. MULLEN

MN0ABP001022

Page 1 of 2

DRIVER/VEHICLE EXAMINATION REPORTReport Number: MN0ABP001022


MN Department of Transportation




Phone: (651) 215-6330 Fax: (651)405-6199

Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:



Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02822689

376800






Signature________________________________________________________





Signature________________________________________________________







678

X X

M. MULLEN

MN0ABP001022

Page 2 of 2

DRIVER/VEHICLE EXAMINATION REPORTReport Number: MN0ABB001013



Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:

ACC MIDWEST TRANSPORTATION INC

HUTCHINSON, MN 55350

Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02387922

Location:

1 W/CCargo:

MilePost:Origin:

ST. CLOUD

ST CLOUD, MNHighway:County: Destination: ST CLOUD, MNBENTONShipper:

Bill of Lading:


VN DODG 2016 29BY85885MN 02C4RDGBG3GR1783711








Arrests:


Special Checks:

EScreening




Signature________________________________________________________



Signature________________________________________________________





656

X X

K. BURZLAFF-MEYER

MN0ABB001013

Page 1 of 2




Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:



Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02387922


656

X X

K. BURZLAFF-MEYER

MN0ABB001013

Page 2 of 2




Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:



Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02387922

Location:

1 W/CCargo:

MilePost:Origin:

ST. CLOUD


Bill of Lading:


VN DODG 2011 28BY85884MN 02d4rn4dg1br6469741








Arrests:


Special Checks:

EScreening




Signature________________________________________________________



Signature________________________________________________________





656

X X

K. BURZLAFF-MEYER

MN0ABB001014

Page 1 of 2




Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:



Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02387922


656

X X

K. BURZLAFF-MEYER

MN0ABB001014

Page 2 of 2




Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:



Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02387922

Location:

1 W/CCargo:

MilePost:Origin:

ST. CLOUD


Bill of Lading:


VN DODG 2012 27BY85250MN 02c4rdgcg6cr3645611


VIOLATIONS :


1 Tire-front tread depth less than 4/32 of inch: bothY393.75(b) U N393.75B* U - Unknown






Arrests:


Special Checks:

EScreening



656

X X

K. BURZLAFF-MEYER

MN0ABB001015

Page 1 of 2




Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:



Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02387922



Signature________________________________________________________



Signature________________________________________________________




Date:Facility:XSignature of Repairer:


656

X X

K. BURZLAFF-MEYER

MN0ABB001015

Page 2 of 2

DRIVER/VEHICLE EXAMINATION REPORTReport Number: MN0ABG000418


Minnesota Department of TransportationCommercial Vehicle Section1110 Centre Pointe Curve, Suite 410Mendota Heights, MN 55120Phone: (651)405-6196 Fax: (651)405-6199

Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:



Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02387922

376859

Location:

EMPTYCargo:

MilePost:Origin:

GLENCOE

GLENCOE, MNHighway:County: Destination:

310 13TH STREET WEST

GLENCOE, MNMCLEOD

Shipper:

Bill of Lading:

CARRIER


VN TOYO 2013 25BY85883MN 05TDZK3DC1DS3519631

BRAKE ADJUSTMENTS:

Right

Left

N/A

N/A

HYDRChamber

Axle # 1

N/A

N/A

HYDR

2







Arrests:


Special Checks:

EScreening



653

X X

J. CUMMINS

MN0ABG000418

Page 1 of 2




Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:



Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02387922

376859



Signature________________________________________________________



Signature________________________________________________________





653

X X

J. CUMMINS

MN0ABG000418

Page 2 of 2




Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:



Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02387922

376859

Location:

EMPTYCargo:

MilePost:Origin:

GLENCOE

GLENCOE, MNHighway:County: Destination:

310 13TH STREET WEST

GLENCOE, MNMCLEOD

Shipper:

Bill of Lading:

CARRIER


VN DODG 2011 26BY85249MN 6,0502D4RN4DG6BR7229161

BRAKE ADJUSTMENTS:

Right

Left

N/A

N/A

HYDRChamber

Axle # 1

N/A

N/A

HYDR

2







Arrests:


Special Checks:

EScreening



653

X X

J. CUMMINS

MN0ABG000419

Page 1 of 2




Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:



Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02387922

376859



Signature________________________________________________________



Signature________________________________________________________





653

X X

J. CUMMINS

MN0ABG000419

Page 2 of 2



Minnesota Department of Transportation/OFCVOCommercial Vehicle Section395 John Ireland Blvd, MS 420St Paul, MN 55115Phone: 651-215-6330

Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:



Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02387922

376859

Location:

2 W/CCargo:

MilePost:Origin:

RICHFIELD


MNDOT CEDAR SHOP


Shipper:

Bill of Lading:


VN TOYT 2015 NOPLATEMN 5,9955TDZK3DC3FS6012851

BRAKE ADJUSTMENTS:

Right

Left

N/A

N/A

HYDRChamber

Axle # 1

N/A

N/A

HYDR

2







Arrests:


Special Checks:

EScreening



679

X X

C. LUDGATE

MN0ABL001800

Page 1 of 2



Minnesota Department of Transportation/OFCVOCommercial Vehicle Section395 John Ireland Blvd, MS 420St Paul, MN 55115Phone: 651-215-6330

Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:



Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02387922

376859



Signature________________________________________________________



Signature________________________________________________________





679

X X

C. LUDGATE

MN0ABL001800

Page 2 of 2




Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:



Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02387922

376859

Location:

EMPTYCargo:

MilePost:Origin:

RICHFIELD


1912 E 66TH ST


Shipper:

Bill of Lading:

CARRIER


VN DODG 2012 27BY85250AK 6,0502C4RDGCG6CR3645611


VIOLATIONS :


1 No "NO SMOKING" signN392.2 N N8840.5950S2







Arrests:


Special Checks:

EScreening



MN0672

X X

ANTON KASELLA

MN0ABX000652

Page 1 of 2




Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:



Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02387922

376859



Signature________________________________________________________



Signature________________________________________________________





MN0672

X X

ANTON KASELLA

MN0ABX000652

Page 2 of 2




Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:



Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02387922

376859

Location:

EMPTYCargo:

MilePost:Origin:

RICHFIELD


1912 E 66TH ST


Shipper:

Bill of Lading:

CARRIER


VN TOYT 2013 17BY84152MN 5,9955TDZK3DCXDS2920861








Arrests:


Special Checks:

EScreening




Signature________________________________________________________



Signature________________________________________________________





MN0672

X X

ANTON KASELLA

MN0ABX000654

Page 1 of 2




Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:



Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02387922

376859


MN0672

X X

ANTON KASELLA

MN0ABX000654

Page 2 of 2




Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:



Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02387922

376859

Location:

EMPTYCargo:

MilePost:Origin:

RICHFIELD


1912 E 66TH ST


Shipper:

Bill of Lading:

CARRIER


VN TOYT 2013 21BY85143MN 5,9955TDZK3DC0DS3624981


VIOLATIONS :


1 Violation of Local Laws - Explain:: 169.723 #2 axle right worn through tread wear indicators in four locations

N392.2 N N392.2







Arrests:


Special Checks:

EScreening



MN0672

X X

ANTON KASELLA

MN0ABX000656

Page 1 of 2




Certification Date:

No HM Inspection


HM Inspection Type:


Date of Birth:



Phone #:Fax #:

USDOT #: MC/MX #:

State #:

02387922

376859



Signature________________________________________________________



Signature________________________________________________________


If your citation for a fatigue and/or illness violation is dismissed by a prosecutor or judge for lack of probable cause, or you are acquitted of the charge, you can make application through the DataQ system

DRIVER/VEHICLE EXAMINATION REPORTkstp.com/kstpImages/repository/cs/files/inspections1.pdf ·...

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Transcript of DRIVER/VEHICLE EXAMINATION REPORTkstp.com/kstpImages/repository/cs/files/inspections1.pdf ·...