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MARYHAVEN CENTER OF HOPE, INC.

Company Details

Name: MARYHAVEN CENTER OF HOPE, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 28 Oct 1987 (37 years ago)
Entity Number: 1212726
ZIP code: 11776
County: Suffolk
Place of Formation: New York
Address: 51 terryville road, PORT JEFFERSON STATION, NY, United States, 11776

Contact Details

Phone +1 631-727-4044

Phone +1 516-872-6103

Phone +1 516-326-6016

Phone +1 516-783-3410

Phone +1 516-546-7070

Phone +1 631-924-5900

Phone +1 516-632-7980

Phone +1 631-474-4120

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
FQFAAGHKKQA6 2024-12-17 51 TERRYVILLE RD, PORT JEFFERSON STATION, NY, 11776, 1331, USA 51 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, 11776, USA

Business Information

Doing Business As MARYHAVEN CENTER OF HOPE
Congressional District 01
State/Country of Incorporation NY, USA
Activation Date 2024-01-02
Initial Registration Date 2023-12-18
Entity Start Date 1930-01-01
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 623210

Points of Contacts

Electronic Business
Title PRIMARY POC
Name JAMES WHITE
Address 445 COUNTRY ROAD 101, SUITE A, YAPHANK, NY, 11980, USA
Government Business
Title PRIMARY POC
Name JAMES WHITE
Address 445 COUNTRY ROAD 101, SUITE A, YAPHANK, NY, 11980, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
3YQU3 Active Non-Manufacturer 2004-07-27 2024-03-04 2027-02-09 No data

Contact Information

POC JAMES M.. WHITE
Phone +1 631-924-5900
Fax +1 631-924-4115
Address 51 TERRYVILLE RD, PORT JEFFERSON STATION, NY, 11776 1331, UNITED STATES

Ownership of Offeror Information

Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
254900HVHIH3SU3FYD60 1212726 US-NY GENERAL ACTIVE 1987-10-28

Addresses

Legal c/o Egan & Golden Llp, 96 S. Ocean Avenue, Patchogue, US-NY, US, 11772
Headquarters 51 Terryville Rd, Port Jefferson Station, US-NY, US, 11776

Registration details

Registration Date 2022-04-25
Last Update 2023-04-26
Status LAPSED
Next Renewal 2023-04-25
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 1212726

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MARYHAVEN SEC 125 CAFETERIA PLAN 2013 112861698 2015-07-23 MARYHAVEN CENTER OF HOPE 1212
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1989-01-01
Business code 624100
Sponsor’s telephone number 6314744120
Plan sponsor’s mailing address 51 TERRYVILLE ROAD, PORT JEFFERSON, NY, 11776
Plan sponsor’s address 51 TERRYVILLE ROAD, PORT JEFFERSON, NY, 11776

Number of participants as of the end of the plan year

Active participants 0

Signature of

Role Plan administrator
Date 2015-07-23
Name of individual signing LAURA PEPPER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-23
Name of individual signing LAURA PEPPER
Valid signature Filed with authorized/valid electronic signature
MARYHAVEN SEC 125 CAFETERIA PLAN 2013 112861698 2014-07-24 MARYHAVEN CENTER OF HOPE 1212
Three-digit plan number (PN) 501
Effective date of plan 1989-01-01
Business code 624100
Sponsor’s telephone number 6314744120
Plan sponsor’s mailing address 51 TERRYVILLE ROAD, PORT JEFFERSON, NY, 11776
Plan sponsor’s address 51 TERRYVILLE ROAD, PORT JEFFERSON, NY, 11776

Number of participants as of the end of the plan year

Active participants 1181

Signature of

Role Plan administrator
Date 2014-07-24
Name of individual signing LAURA PEPPER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-24
Name of individual signing LAURA PEPPER
Valid signature Filed with authorized/valid electronic signature
MARYHAVEN SEC 125 CAFETERIA PLAN 2012 112861698 2013-07-30 MARYHAVEN CENTER OF HOPE 1065
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1989-01-01
Business code 624100
Sponsor’s telephone number 6314744120
Plan sponsor’s mailing address 51 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, 11776
Plan sponsor’s address 51 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, 11776

Number of participants as of the end of the plan year

Active participants 1212

Signature of

Role Plan administrator
Date 2013-07-30
Name of individual signing LAURA PEPPER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-30
Name of individual signing LAURA PEPPER
Valid signature Filed with authorized/valid electronic signature
MARYHAVEN SEC 125 CAFETERIA PLAN 2011 112861698 2012-07-31 MARYHAVEN CENTER OF HOPE 1111
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1989-01-01
Business code 624100
Sponsor’s telephone number 6314744120
Plan sponsor’s mailing address 51 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, 11776
Plan sponsor’s address 51 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, 11776

Plan administrator’s name and address

Administrator’s EIN 112861698
Plan administrator’s name MARYHAVEN CENTER OF HOPE
Plan administrator’s address 51 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, 11776
Administrator’s telephone number 6314744120

Number of participants as of the end of the plan year

Active participants 1065

Signature of

Role Plan administrator
Date 2012-07-31
Name of individual signing SUSAN DICKINSON
Valid signature Filed with authorized/valid electronic signature
MARYHAVEN SEC 125 CAFETERIA PLAN 2009 112861698 2010-07-30 MARYHAVEN CENTER OF HOPE 924
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1989-01-01
Business code 624100
Sponsor’s telephone number 6314744120
Plan sponsor’s mailing address 51 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, 11776
Plan sponsor’s address 51 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, 11776

Plan administrator’s name and address

Administrator’s EIN 112861698
Plan administrator’s name MARYHAVEN CENTER OF HOPE
Plan administrator’s address 51 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, 11776
Administrator’s telephone number 6314744120

Number of participants as of the end of the plan year

Active participants 1000

Signature of

Role Plan administrator
Date 2010-07-30
Name of individual signing SUSAN DICKINSON
Valid signature Filed with authorized/valid electronic signature
MARYHAVEN SEC 125 CAFETERIA PLAN 2009 112861698 2010-07-30 MARYHAVEN CENTER OF HOPE 924
Three-digit plan number (PN) 501
Effective date of plan 1989-01-01
Business code 624100
Sponsor’s telephone number 6314744120
Plan sponsor’s mailing address 51 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, 11776
Plan sponsor’s address 51 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, 11776

Plan administrator’s name and address

Administrator’s EIN 112861698
Plan administrator’s name MARYHAVEN CENTER OF HOPE
Plan administrator’s address 51 TERRYVILLE ROAD, PORT JEFFERSON STATION, NY, 11776
Administrator’s telephone number 6314744120

Number of participants as of the end of the plan year

Active participants 1000

Signature of

Role Employer/plan sponsor
Date 2010-07-30
Name of individual signing SUSAN DICKINSON
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 51 terryville road, PORT JEFFERSON STATION, NY, United States, 11776

History

Start date End date Type Value
2022-01-27 2023-05-18 Address 96 s. ocean avenue, PATCHOGUE, NY, 11772, USA (Type of address: Service of Process)
2012-09-25 2022-01-27 Address 51 TERRYVILLE ROAD, PORT JEFFERSON STA, NY, 11776, USA (Type of address: Service of Process)
2006-02-14 2012-09-25 Address 51 TERRYVILLE ROAD, PORT JEFFERSON STA., NY, 11776, USA (Type of address: Service of Process)
2006-01-31 2006-02-14 Address 51 TERRYVILLE ROAD, PORT JEFFERSON STA., NY, 11776, USA (Type of address: Service of Process)
2002-03-18 2006-01-31 Address 1010 ROUTE 112, PORT JEFFERSON, NY, 11776, USA (Type of address: Service of Process)
1987-10-28 2002-03-18 Address 450 MYRTLE AVENUE, PORT JEFFERSON, NY, 11777, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230518001338 2023-05-18 CERTIFICATE OF AMENDMENT 2023-05-18
220127000418 2022-01-26 CERTIFICATE OF AMENDMENT 2022-01-26
120925000734 2012-09-25 CERTIFICATE OF AMENDMENT 2012-09-25
060214000905 2006-02-14 CERTIFICATE OF AMENDMENT 2006-02-14
060131000666 2006-01-31 CERTIFICATE OF CHANGE 2006-01-31
020318001038 2002-03-18 CERTIFICATE OF AMENDMENT 2002-03-18
B560392-15 1987-10-28 CERTIFICATE OF INCORPORATION 1987-10-28

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
No data IDV 47QSMA20D08QK 2020-08-05 No data No data
Unique Award Key CONT_IDV_47QSMA20D08QK_4732
Awarding Agency General Services Administration
Link View Page

Award Amounts

Obligated Amount 0.00
Potential Award Amount 3250000.00

Description

Title FEDERAL SUPPLY SCHEDULE CONTRACT
NAICS Code 518210: COMPUTING INFRASTRUCTURE PROVIDERS, DATA PROCESSING, WEB HOSTING, AND RELATED SERVICES
Product and Service Codes R799: SUPPORT- MANAGEMENT: OTHER

Recipient Details

Recipient MARYHAVEN CENTER OF HOPE, INC.
UEI Z9RKM4E1GZN3
Recipient Address UNITED STATES, 51 TERRYVILLE RD, PORT JEFFERSON STATION, SUFFOLK, NEW YORK, 117761331

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
346800196 0214700 2023-06-20 115 CRESTWOOD DRIVE, SHIRLEY, NY, 11967
Inspection Type Referral
Scope Partial
Safety/Health Safety
Close Conference 2023-06-29
Case Closed 2023-10-18

Related Activity

Type Accident
Activity Nr 2043591
Type Referral
Activity Nr 2079280
Safety Yes
345044523 0214700 2020-12-02 452 MILLER PLACE ROAD IRA, MILLER PLACE, NY, 11764
Inspection Type Fat/Cat
Scope Partial
Safety/Health Health
Close Conference 2021-05-18
Case Closed 2021-10-04

Related Activity

Type Accident
Activity Nr 1697676

Violation Items

Citation ID 01001
Citaton Type Serious
Standard Cited 19100134 A02
Issuance Date 2021-05-18
Abatement Due Date 2021-08-02
Current Penalty 8192.0
Initial Penalty 13653.0
Final Order 2021-07-06
Nr Instances 30
Nr Exposed 30
Gravity 10
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.134(a)(2): A respirator was not provided to each employee when such equipment was necessary to protect the health of such employee: 452 Individualized Residential Alternative (452 IRA) Operated by Maryhaven Center of Hope Inc. 452 Miller Place Road, Miller Place, NY 11764 a. On or about November 19, 2020, employees providing direct personal care to COVID-19 positive residents were provided only with surgical mask for protection against aerosolized SARS-CoV-2 virus. At a minimum, a N95 NIOSH-certified filtering facepiece respirator is necessary to protect employees from aerosolized SARS-CoV-2 virus. Note: The employer is required to submit abatement certification for this item in accordance with 29 CFR 1903.19.
Citation ID 02001
Citaton Type Repeat
Standard Cited 19100134 C01
Issuance Date 2021-05-18
Abatement Due Date 2021-08-02
Current Penalty 40959.0
Initial Penalty 68265.0
Final Order 2021-07-06
Nr Instances 1
Nr Exposed 30
Gravity 10
FTA Current Penalty 0.0
Citation text line 20 CFR 1910.134 (c)(1): A written respiratory protection program that included the provisions in 29 CFR 1910.134 (c)(1)(i)-(ix) with worksite-specific procedures was not established and implemented for a workplace where respirators were necessary to protect the health of the employee: 452 Individualized Residential Alternative (452 IRA) Operated by Maryhaven Center of Hope Inc. 452 Miller Place Road, Miller Place, NY 11764 a. On or about November 19, 2020 the employer did not develop and implement a written respiratory protection program with worksite -specific procedures for respirator use that included all provisions in 29 CFR 1910.134(C)(1)(i)-(ix). Employees provided direct care to suspected or confirmed positive COVID-19 residents in a group home setting. The employer provided and required employees to wear surgical masks throughout their shifts when respirators were necessary to protect the health of the employees. The violation occurred on or about 11/19/2020 and after. Maryhaven Center of Hope, Inc., was previously cited for a violation of this Occupational Safety and Health Standard 1910.134 (c)(1) or its equivalent, which was contained in OSHA inspection 1473041 , citation number 1, item number 1, issued on 10/16/2020 and was affirmed as final order on 11/12/2020, with respect to a workplace located at 51 Terryville Road, Port Jefferson Station, NY 11776.
344730411 0214700 2020-04-23 51 TERRYVILLE RD., PORT JEFFERSON STATION, NY, 11776
Inspection Type Fat/Cat
Scope Partial
Safety/Health Health
Close Conference 2020-04-23
Case Closed 2021-06-29

Related Activity

Type Accident
Activity Nr 1577467
Type Inspection
Activity Nr 1487759
Health Yes

Violation Items

Citation ID 01001A
Citaton Type Serious
Standard Cited 19100134 C01
Issuance Date 2020-10-16
Abatement Due Date 2020-11-12
Current Penalty 8097.0
Initial Penalty 13494.0
Final Order 2020-11-12
Nr Instances 1
Nr Exposed 29
Gravity 10
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.134(c)(1): A written respiratory protection program that included the provisions in 29 CFR 1910.134(c)(1)(i) - (ix) with worksite specific procedures was not established and implemented for required respirator use: A. Maryhaven Center of Hope Intermediate Care of Facility (ICF-1): Employees, including but not limited to Registered Nurses, Licensed Practical Nurses, Direct Support Professionals, and Medical Case Workers provided direct care to residents with presumed or confirmed COVID-19. The employer did not develop or implement a written respiratory protection program for employees required to wear a Makrite 910 N-95 TC 84A-3323 respirator on or about April 16th, 2020 and continuing thereafter.
Citation ID 01001B
Citaton Type Serious
Standard Cited 19100134 E01
Issuance Date 2020-10-16
Abatement Due Date 2020-11-12
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2020-11-12
Nr Instances 1
Nr Exposed 29
Gravity 10
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.134(e)(1): The employer did not provide a medical evaluation to determine the employee's ability to use a respirator, before the employee was fit tested or required to use the respirator in the workplace: a. Maryhaven Center of Hope Intermediate Care Facility (ICF-1): Employees, including but not limited to Registered Nurses, Licensed Practical Nurses, Direct Support Professionals, and Medical Case Workers provided direct care to residents with presumed or confirmed COVID-19. The employer required these employees to wear a Makrite 910 N-95 TC 84A-3323 respirator without providing medical evaluations on or about April 2nd, 2020 and continuing thereafter.
Citation ID 01001C
Citaton Type Serious
Standard Cited 19100134 F02
Issuance Date 2020-10-16
Abatement Due Date 2020-11-12
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2020-11-12
Nr Instances 1
Nr Exposed 29
Gravity 10
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.134(f)(2): Employee(s) using tight-fitting facepiece respirators were not fit tested prior to initial use of the respirator: a. Maryhaven Center of Hope Intermediate Care Facility (ICF-1):Employees, including but not limited to Registered Nurses, Licensed Practical Nurses, Direct Support Professionals, and Medical Case Workers provided direct care to residents with presumed or confirmed COVID-19 were required by facility management to wear Makrite 910-N-95 TC 84A-3323 respirator as a response to the SARSCoV-2 pandemic. The employer did not conduct qualitative or quantitative respirator fit testing for employees prior to requiring the employees to wear N-95 respirators on or about April 2nd, 2020 and continuing thereafter.
Citation ID 02001
Citaton Type Other
Standard Cited 19040039 A01
Issuance Date 2020-10-16
Current Penalty 5783.0
Initial Penalty 9639.0
Final Order 2020-11-12
Nr Instances 1
Nr Exposed 1
FTA Current Penalty 0.0
Citation text line 29 CFR 1904.39(a)(1): The employer did not report within 8-hours the death of an employee resulting from a work-related incident: a. Maryhaven Center of Hope Intermediate Care Facility(ICF-1). The employee's death occurred on April 16, 2020. On or about April 16, 2020, the employer was notified of an employee's death which occurred due to exposure to SARSCoV-2, the virus that causes COVID-19. The employer failed to report to OSHA within eight (8) hours of the fatality. Note: Because abatement of this violation is already documented in the case file, the employer need not submit certification or documentation of abatement for this violation as normally required by CFR 1903.19.
314527896 0214700 2010-08-27 90 MILL RD, FREEPORT, NY, 11520
Inspection Type Unprog Rel
Scope Partial
Safety/Health Health
Close Conference 2010-08-27
Case Closed 2010-11-17

Related Activity

Type Inspection
Activity Nr 314527888

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
604782 Intrastate Non-Hazmat 2024-02-01 90000 2024 2 1 Private(Property)
Legal Name MARYHAVEN CENTER OF HOPE
DBA Name MARYHAVEN INDUSTRIES
Physical Address 51 TERRYVILLE ROAD, PORT JEFFERSON STA, NY, 11776, US
Mailing Address 51 TERRYVILLE ROAD, PORT JEFFERSON STA, NY, 11776, US
Phone (631) 474-4100
Fax (631) 474-5713
E-mail MFRANCOEUR@MARYHAVEN.ORG

Safety Measurement System - All Transportation

Total Number of Inspections for the measurement period (24 months) 5
Driver Fitness BASIC Serious Violation Indicator No
Vehicle Maintenance BASIC Acute/Critical Indicator No
Unsafe Driving BASIC Acute/Critical Indicator No
Driver Fitness BASIC Roadside Performance measure value 0
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value 0
Total Number of Driver Inspections for the measurment period 5
Vehicle Maintenance BASIC Roadside Performance measure value .44
Total Number of Vehicle Inspections for the measurement period 5
Controlled Substances and Alcohol BASIC Roadside Performance measure value 0
Unsafe Driving BASIC Roadside Performance Measure Value 0
Number of inspections with at least one Driver Fitness BASIC violation 0
Number of inspections with at least one Hours-of-Service BASIC violation 0
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation 0
Number of inspections with at least one Vehicle Maintenance BASIC violation 1
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation 0
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation 0
Number of inspections with at least one Unsafe Driving BASIC violation 0

Inspections

Unique report number of the inspection SPL3010035
State abbreviation that indicates the state the inspector is from NY
The date of the inspection 2024-05-28
ID that indicates the level of inspection Walk-around
State abbreviation that indicates where the inspection occurred NY
Time weight of the inspection 2
Number of Out-Of-Service violations related to Driver 0
Number of Out-Of-Service violations related to vehicle 0
Number of violations related to Hazardous Materials 0
Total number of Out-Of-Service violations 0
Total number of Out-Of-Service violations related to Hazardous Materials 0
Description of the type of the main unit STRAIGHT TRUCK
Description of the make of the main unit CHEVROLET
License plate of the main unit 18766MH
License state of the main unit NY
Vehicle Identification Number of the main unit 1GB3G3CG8F1286125
Unsafe Driving BASIC inspection Y
Hours-of-Service Compliance BASIC inspection Y
Driver Fitness BASIC inspection Y
Controlled Substances/Alcohol BASIC inspection Y
Vehicle Maintenance BASIC inspection Y
Total number of BASIC violations 0
Number of Unsafe Driving BASIC violations 0
Number of Hours-of-Service Compliance BASIC violations 0
Number of Driver Fitness BASIC violations 0
Number of Controlled Substances/Alcohol BASIC violations 0
Number of Vehicle Maintenance BASIC violations 0
Number of Hazardous Materials Compliance BASIC violations 0
Unique report number of the inspection SPL0192048
State abbreviation that indicates the state the inspector is from NY
The date of the inspection 2024-04-24
ID that indicates the level of inspection Walk-around
State abbreviation that indicates where the inspection occurred NY
Time weight of the inspection 2
Number of Out-Of-Service violations related to Driver 0
Number of Out-Of-Service violations related to vehicle 0
Number of violations related to Hazardous Materials 0
Total number of Out-Of-Service violations 0
Total number of Out-Of-Service violations related to Hazardous Materials 0
Description of the type of the main unit STRAIGHT TRUCK
Description of the make of the main unit CHEV
License plate of the main unit 97013ML
License state of the main unit NY
Vehicle Identification Number of the main unit 1GB3GSCG4K1234107
Unsafe Driving BASIC inspection Y
Hours-of-Service Compliance BASIC inspection Y
Driver Fitness BASIC inspection Y
Controlled Substances/Alcohol BASIC inspection Y
Vehicle Maintenance BASIC inspection Y
Total number of BASIC violations 0
Number of Unsafe Driving BASIC violations 0
Number of Hours-of-Service Compliance BASIC violations 0
Number of Driver Fitness BASIC violations 0
Number of Controlled Substances/Alcohol BASIC violations 0
Number of Vehicle Maintenance BASIC violations 0
Number of Hazardous Materials Compliance BASIC violations 0
Unique report number of the inspection D012100049
State abbreviation that indicates the state the inspector is from NY
The date of the inspection 2023-11-06
ID that indicates the level of inspection Full
State abbreviation that indicates where the inspection occurred NY
Time weight of the inspection 1
Number of Out-Of-Service violations related to Driver 0
Number of Out-Of-Service violations related to vehicle 0
Number of violations related to Hazardous Materials 0
Total number of Out-Of-Service violations 0
Total number of Out-Of-Service violations related to Hazardous Materials 0
Description of the type of the main unit STRAIGHT TRUCK
Description of the make of the main unit FREIGHTLIN
License plate of the main unit 18422MC
License state of the main unit NY
Vehicle Identification Number of the main unit 1FVACWDT1DHBZ2451
Unsafe Driving BASIC inspection Y
Hours-of-Service Compliance BASIC inspection Y
Driver Fitness BASIC inspection Y
Controlled Substances/Alcohol BASIC inspection Y
Vehicle Maintenance BASIC inspection Y
Total number of BASIC violations 1
Number of Unsafe Driving BASIC violations 0
Number of Hours-of-Service Compliance BASIC violations 0
Number of Driver Fitness BASIC violations 0
Number of Controlled Substances/Alcohol BASIC violations 0
Number of Vehicle Maintenance BASIC violations 1
Number of Hazardous Materials Compliance BASIC violations 0
Unique report number of the inspection SPL0135392
State abbreviation that indicates the state the inspector is from NY
The date of the inspection 2023-10-25
ID that indicates the level of inspection Walk-around
State abbreviation that indicates where the inspection occurred NY
Time weight of the inspection 1
Number of Out-Of-Service violations related to Driver 0
Number of Out-Of-Service violations related to vehicle 0
Number of violations related to Hazardous Materials 0
Total number of Out-Of-Service violations 0
Total number of Out-Of-Service violations related to Hazardous Materials 0
Description of the type of the main unit STRAIGHT TRUCK
Description of the make of the main unit CHEV
License plate of the main unit 97013ML
License state of the main unit NY
Vehicle Identification Number of the main unit 1GB3GSCG4K1234107
Unsafe Driving BASIC inspection Y
Hours-of-Service Compliance BASIC inspection Y
Driver Fitness BASIC inspection Y
Controlled Substances/Alcohol BASIC inspection Y
Vehicle Maintenance BASIC inspection Y
Total number of BASIC violations 0
Number of Unsafe Driving BASIC violations 0
Number of Hours-of-Service Compliance BASIC violations 0
Number of Driver Fitness BASIC violations 0
Number of Controlled Substances/Alcohol BASIC violations 0
Number of Vehicle Maintenance BASIC violations 0
Number of Hazardous Materials Compliance BASIC violations 0

Violations

The date of the inspection 2023-11-06
Code of the violation 39345B2B
Name of the BASIC Vehicle Maintenance
The violation is identified as Out-Of-Service violation N
The weight that is assigned to a violation if it's identified as an Out-Of-Service violation 0
The severity weight that is assigned to a violation 4
The time weight that is assigned to a violation 1
The description of a violation Air Brake - Hose/tubing damaged or not secured
The description of the violation group Brakes All Others
The unit a violation is cited against Vehicle main unit

Date of last update: 16 Mar 2025

Sources: New York Secretary of State