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U.S. DEPARTMENT OF TRANSPORTATIONFEDERAL MOTOR CARRIER SAFETY ADMINISTRATIONTEXAS DIVISION903 San Jacinto St., Suite 101Austin, TX 78701
US1025006960Report Number:Inspection Date:Start:Inspection Level:
2:38 PM
USDOT#:State:
Phone#:Date of Birth:
MX
State: MX
End:
State#:
I - Full
Driver:License#:Date of Birth:CoDriver:License#:
(555)245-8700BOSQUE DE CIRUELOS # 304 PISO
Fax#:MC/MX#: 443410
05/10/2012
MEXICO, DF 11700
NoneTRANSPORTES MONTEBLANCO S A DE C V
04:05 PM
********
HM Inspection Type:
DRIVER/VEHICLE EXAMINATION REPORT
CT CT
Query Central 3.1.3
Location: COLOMBIA BRIDGE - SOUTHBOUNDHighway: FM 3463 AT FM 1472County:
MilePost: Shipper:Bill of Lading:Origin: HOUSTON, TX
Destination: ARTEAGA, CH Cargo: CAB ONLYWEBB, TXVEHICLE IDENTIFICATIONUnit Type Make Year Equipment ID Plate #State Vin # CVSA #GVWR OOS#New CVSA #1 INTLTT 03A3051STX 3HSCWAPT7BN371434 16804319520002011 15879555
Section Unit OOS Citation # Verify CrashVio Code Violations DiscoveredDriver's record of duty status is not current: Last recordedentry was on May 10, 2012 at 11:00am.
395.8(f)(1) D NN N395.8F1
Driver must be capable of reading and speaking theEnglish Language, sufficiently to converse with thegeneral public
391.11(b)(2) D NY N391.11B2
Driver's record of duty status is not current: Last recordedentry was on May 10, 2012 at 10:00am.
395.8(f)(1) C NN N395.8F1
Failure to pay UCR fee for registration year 2012.392.2 1 NN N392.2UCR
VIOLATIONS
HazMat: Placard: Cargo Tank:NoNo HM Transported.Special Checks: PASA Inspection;
BRAKE ADJUSTMENTSAxle #RightLeftChamber
11 1/41 1/2L-20*
21 1/21 1/4L-30
31 1/21 3/4L-30
Report Prepared By:EZIQUIO SAUCEDA, JR.X_______________________________________
US1025Badge #: Copy Received By:
X_____________________________________
Page 1 of 2
01059694 TX US1025006960
U.S. DEPARTMENT OF TRANSPORTATIONFEDERAL MOTOR CARRIER SAFETY ADMINISTRATIONTEXAS DIVISION903 San Jacinto St., Suite 101Austin, TX 78701
US1025006960Report Number:Inspection Date:Start:Inspection Level:
2:38 PM
USDOT#:State:
Phone#:Date of Birth:
MX
State: MX
End:
State#:
I - Full
Driver:License#:Date of Birth:CoDriver:License#:
(555)245-8700BOSQUE DE CIRUELOS # 304 PISO
Fax#:MC/MX#: 443410
05/10/2012
MEXICO, DF 11700
NoneTRANSPORTES MONTEBLANCO S A DE C V
04:05 PM
********
HM Inspection Type:
DRIVER/VEHICLE EXAMINATION REPORT
CT CT
Query Central 3.1.3
Driver, was able to respond to the following questions:1. Where are you coming from?2. Who do you work for?3. What year is the truck?4. Are you carrying hazardous material?Driver knew the meaning of the following road signs:Wrong Way signSpeed Limit: 50mph signPedestrian Crossing signHowever, driver, had difficulties following inspection commands such as:1. Turn off your engine.2. Give me the truck keys.3. Where are the truck keys.4. Release the parking brake.5. Step on the service brake.
Special StudiesStudy #1:Study #2:Study #3: YESStudy #4: NOStudy #5:Study #6:Study #7:Study #8:Study #9:
Study #10:
Inspection Notes
Report Prepared By:EZIQUIO SAUCEDA, JR.X_______________________________________
US1025Badge #: Copy Received By:
X_____________________________________
Page 2 of 2
01059694 TX US1025006960
U.S. DEPARTMENT OF TRANSPORTATIONFEDERAL MOTOR CARRIER SAFETY ADMINISTRATIONTEXAS DIVISION903 San Jacinto St. Suite 101Austin, Texas 78701
US1133009038Report Number:Inspection Date:Start:Inspection Level:
2:30 PM
USDOT#:State:
Phone#:Date of Birth:
MX
State: MX
End:
State#:
I - Full
Driver:License#:Date of Birth:CoDriver:License#:
(555)245-8700BOSQUE DE CIRUELOS # 304 PISO
Fax#:MC/MX#: 443410
05/10/2012
MEXICO, DF 11700
NoneTRANSPORTES MONTEBLANCO S A DE C V
04:09 PM
********
HM Inspection Type:
DRIVER/VEHICLE EXAMINATION REPORT
CT CT
Query Central 3.1.3
Location: COLOMBIA BRIDGEHighway: HWY 255County:
MilePost: Shipper:Bill of Lading:Origin: COAHUILA, COAH
Destination: HOUSTON, TX Cargo:WEBB, TXVEHICLE IDENTIFICATIONUnit Type Make Year Equipment ID Plate #State Vin # CVSA #GVWR OOS#New CVSA #1 INTLTT 04A3052STX 3HSCWAPT3BN371432 16804409577502011
Section Unit OOS Citation # Verify CrashVio Code Violations DiscoveredDriver must be capable of reading and speaking theEnglish Language, sufficiently to converse with thegeneral public
391.11(b)(2) D NY N391.11B2
Failure to pay UCR fee.392.2 1 NN N392.2
VIOLATIONS
HazMat: Placard: Cargo Tank:NoNo HM Transported.Special Checks: PASA Inspection;
BRAKE ADJUSTMENTSAxle #RightLeftChamber
11 1/21 1/2L-20
22
1 5/8L-30
31 3/41 3/4L-30
Report Prepared By:NATIVIDAD HERNANDEZ, JRX_______________________________________
US1133Badge #: Copy Received By:
X_____________________________________
Page 1 of 2
01059694 TX US1133009038
U.S. DEPARTMENT OF TRANSPORTATIONFEDERAL MOTOR CARRIER SAFETY ADMINISTRATIONTEXAS DIVISION903 San Jacinto St. Suite 101Austin, Texas 78701
US1133009038Report Number:Inspection Date:Start:Inspection Level:
2:30 PM
USDOT#:State:
Phone#:Date of Birth:
MX
State: MX
End:
State#:
I - Full
Driver:License#:Date of Birth:CoDriver:License#:
(555)245-8700BOSQUE DE CIRUELOS # 304 PISO
Fax#:MC/MX#: 443410
05/10/2012
MEXICO, DF 11700
NoneTRANSPORTES MONTEBLANCO S A DE C V
04:09 PM
********
HM Inspection Type:
DRIVER/VEHICLE EXAMINATION REPORT
CT CT
Query Central 3.1.3
Driver, was able to respond to the following questions:1. Where are you coming from?2. Where are you going to?3. Where is your insurance card?Driver knew the following road signs:One WaySlowNo TruckNo Left TurnWhen performing the level 1 Driver had difficulties following inspection commands such as:Question 1: Release your parking brakes.Question 2: How much air does the air tank have?At that point had to switch driver to finish my inspection.
Special StudiesStudy #1:Study #2: N/AStudy #3: YESStudy #4: NOStudy #5:Study #6:Study #7:Study #8:Study #9:
Study #10:
Inspection Notes
Report Prepared By:NATIVIDAD HERNANDEZ, JRX_______________________________________
US1133Badge #: Copy Received By:
X_____________________________________
Page 2 of 2
01059694 TX US1133009038
MONTEBLANCO
F\:<.kral Motor Can·ier A.dmmistration 1200 New .Jersey !\venue SF Wushmgton,
~ OC 20:'90
To v;hom it rnav cllncem l'he OP-1 Application
SECTION IIAFFILJ .. rf!OVS /VfORAIATION
Date 06- 11-2012 US DOT II I 059694
rransport~s Montcblanco S A. deC V. Bosque de Caruelos '304 paso 9
Mexico City. Me\JCO I 1700
Disclose any relationship the applicant has. or has had. with any L .~. or fore1gn motor carrier. broker or frdght fonvarder 1"\:t!istcreJ - with the fom1er TCC, FHWl\. Office of Motor Ca1Ticr Safet\ or I ederal Motor Carrier Salctv Administration.
. -within the past 3 years For e\.ample. this relationship could be through a percentage of ~tock ownership. a loan. a management position. a "holly-0\mcd ~ubsidiary. or other arrangement.
If this requirement applies to the appltcant. provad~? the name of the • Affiliated company the latter'~ MC or MX Numher 1ts USDOT Number if any and the company's la1est U.S. DO 1 safety rating. Applicant must ind1cate whl.!thcr these entities have been disqualified from opermmg commercml motor vehicle:-; anywhere in the United Sra1es pursuant to Section 219 of the Motor Carrier Safety Improvement Act of 1999 (Pub. L I 06-159. 1 13 Stat.l748) ( MCSIA ). ([ f the applicflnt requires more space. attach the information to th1s leucr )
Wt: answered no ul'tiliations to this question hccausc of the following reason: ~ ~ mi uw.lerstot.\U th~ qu-.::-.~l(\11.
-Our Company affiliations are·
Affiliation list: Name: L SDOl ~: :v1C MX #: \ddress Relationship
• f\J(, :\ luncnw-. Inc.: l sD<)T 1 1442274: 2305 C 1\irlin\! Drive. llou:shm Te'\a' 7711119. • Jran::.pcJI'It:~ Montebanco: USDOT t1 IS713Sh.: i\K-676015-C: 2-IOIJ Couruft' ~t Brm'n~\llle 'Texa~ 7g521
Stnccrcl): .Juan C arlos Fuentes M.
gff:::c /j jt
L
t, t .. K t, { 'I r M! .
DESDE 1949
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