| Name: | WARREN TIRE SERVICE CENTER, INC. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC BUSINESS CORPORATION |
| Status: | Active |
| Date of registration: | 29 Mar 1983 (42 years ago) |
| Entity Number: | 831496 |
| ZIP code: | 12804 |
| County: | Warren |
| Place of Formation: | New York |
| Address: | 4 HIGHLAND AVE, QUEENSBURY, NY, United States, 12804 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7V2J5 | Active | Non-Manufacturer | 2017-05-05 | 2024-03-10 | 2026-03-26 | 2022-06-23 | |||||||||||||
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| POC | PETER R. MARSHALL |
| Phone | +1 518-792-0316 |
| Address | 4 HIGHLAND AVE, QUEENSBURY, NY, 12804 3800, 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 |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KCB,INC DBA WARREN TIRE SERVICE 401K PS PLAN | 2023 | 141699496 | 2024-05-24 | WARREN TIRE SERVICE CENTER | 31 | |||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-05-24 |
| Name of individual signing | JENNIFER A BOYER |
| Role | Employer/plan sponsor |
| Date | 2024-05-24 |
| Name of individual signing | EDWARD E BOYER |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1993-01-01 |
| Business code | 441300 |
| Sponsor’s telephone number | 5185636400 |
| Plan sponsor’s address | 13 BROAD STREET, PLATTSBURGH, NY, 12901 |
Plan administrator’s name and address
| Administrator’s EIN | 141699496 |
| Plan administrator’s name | WARREN TIRE SERVICE CENTER |
| Plan administrator’s address | 13 BROAD STREET, PLATTSBURGH, NY, 12901 |
| Administrator’s telephone number | 5185636400 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-19 |
| Name of individual signing | EDWARD BOYER |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1993-01-01 |
| Business code | 441300 |
| Sponsor’s telephone number | 5185636400 |
| Plan sponsor’s address | 13 BROAD STREET, PLATTSBURGH, NY, 12901 |
Plan administrator’s name and address
| Administrator’s EIN | 141699496 |
| Plan administrator’s name | WARREN TIRE SERVICE CENTER |
| Plan administrator’s address | 13 BROAD STREET, PLATTSBURGH, NY, 12901 |
| Administrator’s telephone number | 5185636400 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-29 |
| Name of individual signing | EDWARD BOYER |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1993-01-01 |
| Business code | 441300 |
| Sponsor’s telephone number | 5185636400 |
| Plan sponsor’s address | 13 BROAD STREET, PLATTSBURGH, NY, 12901 |
Plan administrator’s name and address
| Administrator’s EIN | 141699496 |
| Plan administrator’s name | WARREN TIRE SERVICE CENTER |
| Plan administrator’s address | 13 BROAD STREET, PLATTSBURGH, NY, 12901 |
| Administrator’s telephone number | 5185636400 |
Signature of
| Role | Plan administrator |
| Date | 2021-08-25 |
| Name of individual signing | EDWARD BOYER |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1995-01-01 |
| Business code | 811110 |
| Sponsor’s telephone number | 5187920316 |
| Plan sponsor’s address | 4 HIGHLAND AVE, QUEENSBURY, NY, 12804 |
Signature of
| Role | Plan administrator |
| Date | 2021-03-19 |
| Name of individual signing | ROBERT W. KELLOGG |
| Role | Employer/plan sponsor |
| Date | 2021-03-19 |
| Name of individual signing | ROBERT W. KELLOGG |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1993-01-01 |
| Business code | 441300 |
| Sponsor’s telephone number | 5185636400 |
| Plan sponsor’s address | 13 BROAD STREET, PLATTSBURGH, NY, 12901 |
Plan administrator’s name and address
| Administrator’s EIN | 141699496 |
| Plan administrator’s name | WARREN TIRE SERVICE CENTER |
| Plan administrator’s address | 13 BROAD STREET, PLATTSBURGH, NY, 12901 |
| Administrator’s telephone number | 5185636400 |
Signature of
| Role | Plan administrator |
| Date | 2020-05-15 |
| Name of individual signing | EDWARD BOYER |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1995-01-01 |
| Business code | 811110 |
| Sponsor’s telephone number | 5187920316 |
| Plan sponsor’s address | 4 HIGHLAND AVE, QUEENSBURY, NY, 12804 |
Signature of
| Role | Plan administrator |
| Date | 2020-02-19 |
| Name of individual signing | ROBERT W. KELLOGG |
| Role | Employer/plan sponsor |
| Date | 2020-02-19 |
| Name of individual signing | ROBERT W. KELLOGG |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1993-01-01 |
| Business code | 441300 |
| Sponsor’s telephone number | 5185636400 |
| Plan sponsor’s address | 13 BROAD STREET, PLATTSBURGH, NY, 12901 |
Plan administrator’s name and address
| Administrator’s EIN | 141699496 |
| Plan administrator’s name | WARREN TIRE SERVICE CENTER |
| Plan administrator’s address | 13 BROAD STREET, PLATTSBURGH, NY, 12901 |
| Administrator’s telephone number | 5185636400 |
Signature of
| Role | Plan administrator |
| Date | 2019-08-23 |
| Name of individual signing | EDWARD BOYER |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1995-01-01 |
| Business code | 811110 |
| Sponsor’s telephone number | 5187920316 |
| Plan sponsor’s address | 4 HIGHLAND AVE, QUEENSBURY, NY, 12804 |
Signature of
| Role | Plan administrator |
| Date | 2019-03-18 |
| Name of individual signing | ROBERT W. KELLOGG |
| Role | Employer/plan sponsor |
| Date | 2019-03-18 |
| Name of individual signing | ROBERT W. KELLOGG |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1993-01-01 |
| Business code | 441300 |
| Sponsor’s telephone number | 5185636400 |
| Plan sponsor’s address | 13 BROAD STREET, PLATTSBURGH, NY, 12901 |
Plan administrator’s name and address
| Administrator’s EIN | 141699496 |
| Plan administrator’s name | WARREN TIRE SERVICE CENTER |
| Plan administrator’s address | 13 BROAD STREET, PLATTSBURGH, NY, 12901 |
| Administrator’s telephone number | 5185636400 |
Signature of
| Role | Plan administrator |
| Date | 2018-03-23 |
| Name of individual signing | EDWARD BOYER |
| Name | Role | Address |
|---|---|---|
| WAYNE D KELLOGG, CEO | Chief Executive Officer | 4 HIGHLAND AVE, QUEENSBURY, NY, United States, 12804 |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 4 HIGHLAND AVE, QUEENSBURY, NY, United States, 12804 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 1997-03-04 | 2007-03-21 | Address | 4 HIGHLAND AVE, QUEENSBURY, NY, 12804, USA (Type of address: Chief Executive Officer) |
| 1994-04-22 | 1997-03-04 | Address | 92 WARREN STREET, GLENS FALLS, NY, 12801, USA (Type of address: Service of Process) |
| 1993-04-20 | 1997-03-04 | Address | 92 WARREN STREET, GLENS FALLS, NY, 12801, USA (Type of address: Chief Executive Officer) |
| 1993-04-20 | 1997-03-04 | Address | 92 WARREN STREET, GLENS FALLS, NY, 12801, USA (Type of address: Principal Executive Office) |
| 1983-03-29 | 1994-04-22 | Address | 92 WARREN ST., GLENS FALLS, NY, 12801, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 190305060347 | 2019-03-05 | BIENNIAL STATEMENT | 2019-03-01 |
| 170301006744 | 2017-03-01 | BIENNIAL STATEMENT | 2017-03-01 |
| 150302006037 | 2015-03-02 | BIENNIAL STATEMENT | 2015-03-01 |
| 130318006205 | 2013-03-18 | BIENNIAL STATEMENT | 2013-03-01 |
| 110317002382 | 2011-03-17 | BIENNIAL STATEMENT | 2011-03-01 |
| 090223002926 | 2009-02-23 | BIENNIAL STATEMENT | 2009-03-01 |
| 070321003019 | 2007-03-21 | BIENNIAL STATEMENT | 2007-03-01 |
| 050405002621 | 2005-04-05 | BIENNIAL STATEMENT | 2005-03-01 |
| 030225002534 | 2003-02-25 | BIENNIAL STATEMENT | 2003-03-01 |
| 010309002309 | 2001-03-09 | BIENNIAL STATEMENT | 2001-03-01 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 340146836 | 0213100 | 2014-12-18 | 308 DIX AVE., QUEENSBURY, NY, 12804 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Type | Referral |
| Activity Nr | 927750 |
| Safety | Yes |
| Inspection Type | Planned |
| Scope | Partial |
| Safety/Health | Safety |
| Close Conference | 2012-11-08 |
| Emphasis | L: FALL |
| Case Closed | 2013-02-21 |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Other |
| Standard Cited | 19260404 B01 I |
| Issuance Date | 2013-01-22 |
| Abatement Due Date | 2013-02-01 |
| Current Penalty | 1350.0 |
| Initial Penalty | 2700.0 |
| Final Order | 2013-02-07 |
| Nr Instances | 1 |
| Nr Exposed | 2 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1926.404(b)(1)(i): Employer did not use either ground fault circuit interrupters as specified in paragraph (b)(1)(ii) of this section, or an assured equipment grounding conductor program as specified in paragraph (b)(1)(iii) of this section to protect employees on construction sites. a) Jobsite, 1700 Rt 9 Clifton Park, NY- On or about 11/08/12- Employees using outdoors a 120v Bosch electric drill that was not equipped with a Ground Fault Circuit Interrupter (GFCI) were exposed to an electrical shock hazard. |
| Citation ID | 01002A |
| Citaton Type | Serious |
| Standard Cited | 19260453 B02 V |
| Issuance Date | 2013-01-22 |
| Abatement Due Date | 2013-02-01 |
| Current Penalty | 1800.0 |
| Initial Penalty | 3600.0 |
| Final Order | 2013-02-07 |
| Nr Instances | 1 |
| Nr Exposed | 2 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1926.453(b)(2)(v): A body belt with lanyard attached to the boom or basket was not worn by employee(s) working from an aerial lift: a) Jobsite, 1700 Rt 9 Clifton Park, NY- On or about 11/08/12- Employees working from a JLG aerial lift not wearing body belts and lanyards were exposed to an approximate (10') ten foot fall hazard. |
| Citation ID | 01002B |
| Citaton Type | Serious |
| Standard Cited | 19260454 A |
| Issuance Date | 2013-01-22 |
| Abatement Due Date | 2013-02-01 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2013-02-07 |
| Nr Instances | 1 |
| Nr Exposed | 2 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1926.454(a): The employer did not have each employee who performed work while on a scaffold trained by a person qualified in the subject matter to recognize the hazards associated with the type of scaffold being used and to understand the procedures to control or minimize those hazards. a) Jobsite, 1700 Rt 9 Clifton Park, NY- On or about 11/08/2012- Employees were not trained in fall protection requirements when in an aerial lift and exposed to fall hazard of approximately (10') ten feet to ground level. |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4363347010 | 2020-04-03 | 0248 | PPP | 4 HIGHLAND AVE, QUEENSBURY, NY, 12804-3800 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1447393 | Interstate | 2025-02-11 | 106000 | 2024 | 11 | 16 | Auth. For Hire, Private(Property) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Total Number of Inspections for the measurement period (24 months) | 6 |
| 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 | .5 |
| Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value | 0 |
| Total Number of Driver Inspections for the measurment period | 6 |
| Vehicle Maintenance BASIC Roadside Performance measure value | 0 |
| Total Number of Vehicle Inspections for the measurement period | 2 |
| Controlled Substances and Alcohol BASIC Roadside Performance measure value | 0 |
| Unsafe Driving BASIC Roadside Performance Measure Value | .42 |
| Number of inspections with at least one Driver Fitness BASIC violation | 3 |
| 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 | 0 |
| 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 | 1 |
Inspections
| Unique report number of the inspection | SPT3140158 |
| State abbreviation that indicates the state the inspector is from | NY |
| The date of the inspection | 2024-10-30 |
| ID that indicates the level of inspection | Driver-Only |
| State abbreviation that indicates where the inspection occurred | NY |
| Time weight of the inspection | 3 |
| 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 | FORD |
| License plate of the main unit | 43387MJ |
| License state of the main unit | NY |
| Vehicle Identification Number of the main unit | 1FDUF5GT1GEC25808 |
| Unsafe Driving BASIC inspection | Y |
| Hours-of-Service Compliance BASIC inspection | Y |
| Driver Fitness BASIC inspection | Y |
| Controlled Substances/Alcohol 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 | SPG3060045 |
| State abbreviation that indicates the state the inspector is from | NY |
| The date of the inspection | 2024-09-17 |
| ID that indicates the level of inspection | Driver-Only |
| State abbreviation that indicates where the inspection occurred | NY |
| Time weight of the inspection | 3 |
| 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 | FORD |
| License plate of the main unit | 19095MN |
| License state of the main unit | NY |
| Vehicle Identification Number of the main unit | 1FDRF3H6XKEE59084 |
| Unsafe Driving BASIC inspection | Y |
| Hours-of-Service Compliance BASIC inspection | Y |
| Driver Fitness BASIC inspection | Y |
| Controlled Substances/Alcohol 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 | 1 |
| 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 | SPG0225106 |
| State abbreviation that indicates the state the inspector is from | NY |
| The date of the inspection | 2024-01-04 |
| 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 | FORD |
| License plate of the main unit | 19095MN |
| License state of the main unit | NY |
| Vehicle Identification Number of the main unit | 1FDRF3H6XKEE59084 |
| 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 | 0122003053 |
| State abbreviation that indicates the state the inspector is from | NY |
| The date of the inspection | 2023-07-10 |
| 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 | FORD |
| License plate of the main unit | 19095MN |
| License state of the main unit | NY |
| Vehicle Identification Number of the main unit | 1FDRF3H6XKEE59084 |
| 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 | SPG0214297 |
| State abbreviation that indicates the state the inspector is from | NY |
| The date of the inspection | 2023-03-21 |
| ID that indicates the level of inspection | Driver-Only |
| 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 | FORD |
| License plate of the main unit | 23721NB |
| License state of the main unit | NY |
| Vehicle Identification Number of the main unit | 1FDUF4GN8NDA02406 |
| Unsafe Driving BASIC inspection | Y |
| Hours-of-Service Compliance BASIC inspection | Y |
| Driver Fitness BASIC inspection | Y |
| Controlled Substances/Alcohol BASIC inspection | Y |
| Total number of BASIC violations | 2 |
| Number of Unsafe Driving BASIC violations | 1 |
| Number of Hours-of-Service Compliance BASIC violations | 0 |
| Number of Driver Fitness BASIC violations | 1 |
| 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 | 0117009875 |
| State abbreviation that indicates the state the inspector is from | NY |
| The date of the inspection | 2023-03-13 |
| ID that indicates the level of inspection | Driver-Only |
| 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 | FORD |
| License plate of the main unit | 33124ML |
| License state of the main unit | NY |
| Vehicle Identification Number of the main unit | 1FDRF3G63HEE73953 |
| Unsafe Driving BASIC inspection | Y |
| Hours-of-Service Compliance BASIC inspection | Y |
| Driver Fitness BASIC inspection | Y |
| Controlled Substances/Alcohol 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 | 1 |
| 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 | 2024-09-17 |
| Code of the violation | 39141AMCPC |
| Name of the BASIC | Driver Fitness |
| 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 | 1 |
| The time weight that is assigned to a violation | 3 |
| The description of a violation | Medical (Certificate) - Operating a property-carrying vehicle without possessing a valid medical certificate |
| The description of the violation group | Medical Certificate |
| The unit a violation is cited against | Driver |
| The date of the inspection | 2023-03-21 |
| Code of the violation | 3922C |
| Name of the BASIC | Unsafe Driving |
| 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 | 5 |
| The time weight that is assigned to a violation | 1 |
| The description of a violation | Failure to obey traffic control device |
| The description of the violation group | Dangerous Driving |
| The unit a violation is cited against | Driver |
| The date of the inspection | 2023-03-21 |
| Code of the violation | 39141A |
| Name of the BASIC | Driver Fitness |
| 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 | 1 |
| The time weight that is assigned to a violation | 1 |
| The description of a violation | Operating a property-carrying vehicle without a valid medical certificate in possession or on file with the state drivers licensing agency. History of either fail |
| The description of the violation group | Medical Certificate |
| The unit a violation is cited against | Driver |
| The date of the inspection | 2023-03-13 |
| Code of the violation | 39141A1NPH |
| Name of the BASIC | Driver Fitness |
| 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 | 1 |
| The time weight that is assigned to a violation | 1 |
| The description of a violation | Operating a property-carrying vehicle without possessing a valid medical certificate - no previous history |
| The description of the violation group | Medical Certificate |
| The unit a violation is cited against | Driver |
Date of last update: 17 Mar 2025
Sources: New York Secretary of State
