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Qualification Name Status Start Date Exp Date / Med Exam Notes
Copy of License
HAZMAT Endorsement
Copy of D.O.T. Physical Card
Employment Application
Prev. Employer Info. Consent
Prev. Employer Verification
Prev. Employer Drug & Alcohol Consent Form
Prev. Employer Drug & Alcohol Verification
Prev. Employer Drug & Alcohol Statement
Meal, Rest, and Routine Stops
Driver Certification Form
DOT Drivers Abstract
Clearinghouse Query Consent form
Medical Certification Abstract
Road Test and/or Certification
Pre-Employment Drug Test Urinalysis Consent Form
Drug Testing Procedure Form
Drug & Alcohol Policy Receipt
Copy of Physical Form
Waiver or Re-Certification
Pre-Employment Drug Screen
Drug Pool List
Previous 7 Days Hours
Hours of Service Form
New Entry Level Certificate
Yearly Maintenance Fee
Company Name First Attempt Second Attempt Third Attempt Completed


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CollDate Test Type Alcohol/Drug Result Disposition
11/21/2024 Random D Negative
9/8/2022 Random A Alcohol Concentration < 0.02
9/8/2022 Random D Negative
12/14/2021 Random A Alcohol Concentration < 0.02
12/14/2021 Random D Negative
6/10/2021 Random A Alcohol Concentration < 0.02
6/10/2021 Random D Negative
7/29/2020 Random D Negative
7/28/2020 Random A Alcohol Concentration < 0.02
11/5/2019 Pre-Employment D Negative