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STATE )F CALIFORNIA A.©t ?"-■ Page 1 of 4 <br /> DEPARTMENT OF CALIFORNIA HIGHWAY PATROL NEW TERMINAL INFORMATION CA NUMBER FILE'.CODE NUMBER COUNTY CODE <br /> SAFETY COMPLIANCE REPORT/ U Yes ❑No 69891 59231 01 <br /> TERMINAL RECORD UPDATE CARRIER TYPE CODE OTHER PROGRAM LOCATION CODE SUBAREA <br /> CHP 343(Rev. 10-00)OPI 062 _Truck B H 390 4566 <br /> TERMINAL NAME TELEPHONE NUMBER(W/AREA CODE) <br /> City of Pleasanton 925-931-5588 <br /> S- T ADDRESS(NUMBER,STREET,CITY,ZIP CODE) -'- <br /> 3.,.,3 Busch Rd. Pleasanton, Ca. 94566 <br /> MAILING ADDRESS(NUMBER STREET,CITY,ZIP CODE)(IF DIFFERENT FROM ABOVE — <br /> P.O. Box 520 Pleasanton, Ca. 94566 <br /> LICENSE AND FLEET INFORMATION <br /> HM LIC.NO. HWT REG.NO. IMS LIC.NO. TRUCKS AND TYPES TRAILERS AND TYPES BUSES BY TYPE DRIVERS _ <br /> �XIsrA . „ _ I- 1 II- 7 64 <br /> •. IA REG.CT n• • L- — <br /> 12 Yes ❑No <br /> EMERGENCY CONTACTS(In Calling Order of Preference) <br /> EMERGENCY CONTACT(NAME) DAY TELEPHONE NUMBER(W/AREA CODE) NIGHT TELEPHONE NUMBER(W/AREA CODE) <br /> EMERGENCY CONTACT(NAME) DAY TELEPHONE NUMBER(W/AREA CODE) NIGHT TELEPHONE NUMBER(W/AREA CODE) <br /> ESTIMATED CALIFORNIA MILEAGE FOR THIS TERMINAL FOR LAST YEAR[ 2011 ) <br /> A B C D E F G H <br /> ❑ UNDER 15,001 50,001 100,001 500,001 1,000,001 2,000,001 5,000,001 I MORE THAN <br /> 15,000 U 50,000 ❑ 100,000 ❑ 500,000 ❑ 1,000,000 ❑ 2,000,000 ❑ 5,000,000 ❑ 10,000,000 ❑ 10,000,000 <br /> OPERATING AUTHORITIES <br /> PUC T- T — TCP _ TCP - US DOT PSC PSC <br /> ICC — MC _ IN{C'p MC f REASON FOR INSPECTION <br /> MX _ _MX t I Yes ❑ No I I N/A Annual Bus Terminal Inspection <br /> INSPECTION FINDINGS INSPECTION RATINGS: S=Satisfactory U=Unsatisfactory C=Conditional UR=Unrllted N/A-Not Applicable <br /> REQMTS VIOL MAINTENANCE PROGRAM DRIVER RECORDS REG.EQUIPMENT HAZARDOUS MATERIALS TERMINAL <br /> MAINTENANCE <br /> PROGRAM 1 S 23 3 S 4 3 1 S 2S 3 5 4 S 1 3 2 S 3 S 4 S 1 N/P 2 3 4 15 2 S 3 5 4 5 <br /> -_- <br /> DI --_-- - ime n ime tut ._ <br /> RED OS No. 3 Time 1.0 No. 16 Time 0.5 No. 3 Time 2.0 Time 1330 1700 <br /> DRIVER HAZARDOUS MATERIALS CONTAINERS/TANKS VEHICLES PLACED OUT OF SERVICE / <br /> HOURS 12 No HM Transported ❑ No HM Violations Noted No. Time Vehicles Units <br /> BRAKES REMARKS <br /> LAMPS& B Bus Terminal performed in conjunction with Bit Terminal conducted today. <br /> SIGNALS <br /> CONNECTING <br /> DEVICES <br /> STEERING& <br /> SUSPENSION • <br /> TIRES 8 <br /> WHEELS <br /> EQUIPMENT <br /> REQUIREMENTS <br /> CONTAINERS& • <br /> TANKS <br /> HAZARDOUS <br /> MATERIALS - <br /> BIT NON-BIT FEE DUE CHP 345 CHP 100D COL. INSPECTION LOCATION(NUMBER,STREET,CITY OR COUNTY) <br /> ❑ I n R U ❑yes m No ❑ 5 Same <br /> INSPECTED BY(NAME) ID NUMBER INSPECTION DATE(S) SUSPENSE DATE <br /> T. Beatty a9796 09/10/12 ❑Auto U None <br /> MOTOR CARRIER CERTIFICATION, <br /> I hereby certify that all violations described hereon and recorded on the attached pages(2,through ),will be corrected in accordance with applicable <br /> provisions of the California Vehicle Code and the California Code of Regulations. I understand that I may request a review or an unsatisfactory rating by <br /> contacting the Motor Carrier Safety Unit Supervisor at within 5 calendar days of the rating. <br /> CURRENT TERMINAL RATING CARRIER REPRESENTATIVE'S SIGNATURE DATE <br /> Satisfactory X 09/10/12 <br /> CAI._.<REPRESENTATIVE'S PRINTED NAME TITLE DRIVER LICENSE NUMBER STATE <br /> Neal Wong <br /> Destroy Previous Editions 0343 aoo.BB <br />