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Background Screening Report - Single ItemStreet Address  S 129TH EAST AVE SUITE 127.TULSA, OK Street Address -5801Telephone: PHONE NUMBER AVAILABLEFax: PHONE NUMBER AVAILABLEFrom Case Number: Street Address
Candidate: Medina, CarlosCANDIDATE INFORMATIONPrepared For: Swift RecruitingState of ColoradoCandidate's Address:XXX-XX-6896224 OliveLa Junta, CO 81050UNITED STATESDOB: 03/08/1968SSN:SUMMARY OF FULL INVESTIGATIONRequest Completed Element Type Description Status05/08/2024 05/08/2024 PREVIOUS RECORD OF DRIVER IQ PRE (SUMMARY) MEDINA, CARLOS Complete EMPLOYMENT05/08/2024 05/08/2024 MOTOR VEHICLE RECORD * STATE OF COLORADO Complete 05/08/2024 05/08/2024 MOTOR VEHICLE RECORD COMMERCIAL DRIVERS LICENSE INFO. Complete.Reference 1:Recruiter: Yazmin Gonzalez MolinaDivision: Field Support RecruiterRequestID: 6990434Candidate_ID: 109918457Ordering_User: Yazmin Gonzalez MolinaEmail : EMAIL AVAILABLEPhone : PHONE NUMBER AVAILABLECase Comments:* Detail is only included for items underlined in the summary. See a Full Case Report or alternate "single Item" documents for other detail. Status DefinitionsAdverse The report component is complete and includes discrepant or negative information. Clear Clear, no review required.Complete Complete and ready for review.Error The report component could not be completed due to incorrect input of information. Needs Review The report is complete, however, the component contains information that should be reviewed. NotPursued Lead intentionally closed before research completed. Pending Lead still being researched.See Detail Results are neither clear nor adverse for this component. Refer to "Investigative Detail" pages for more information.*** END OF REPORT ***Case No.: 33801578 Page 1Printed: 05/08/2024 13:09:57 Medina, CarlosDISPP-8EWWW.DRIVERIQ.COMCONFIDENTIALMEDINA, CARLOSCase No. 33801578LICENSE 921536633NAME Medina, CarlosSTATE COCLASSA CLASS A COMMERCIAL VEH ANY WEIGHT. MAY TOW ANOTHER VEHICLE > 10K LBS.ENDORSEMENTS TANK VEHICLE TVRESTRICTIONS: NO MANUAL TRANSMISSION CMVNOTES: LIC STATE COCLASS M CLASS M MOTORCYCLE PERMITENDORSEMENTSRESTRICTIONS:NOTES: LIC STATE COCLASSR CLASS R NON COMMERCIAL ANY NON COMMERCIAL VEHICLE ENDORSEMENTSRESTRICTIONS:NOTES: LIC STATE COMOTOR VEHICLE RECORDJURISDICTIONCOSUMMARYComplete As of 05/08/2024PROVIDED BY CLIENTINFORMATION RETURNED FROM STATENAME / ADDRESS PHYSICAL IDENTITYMEDINA, CARLOS, JR224 OLIVE AVE,LA JUNTA CO 81050HEIGHT5'10WEIGHT250 LbsSEXMEYEBROWNHRBRNDOB03/08/1968SSNXXX XX XXXXLICENSE 921536633TYPE DETAILS STATUS ISSUED EXPIRESCOMMERCIAL VALID 05/03/2024 03/08/2028PERMIT VALID 06/11/2021 06/11/2024PERSONAL VALID 05/03/2024 03/08/2028Printed on: 05/08/2024 13:09:58 Medina, CarlosDISPP 8E Case No.: 33801578WWW.DRIVERIQ.COMCONFIDENTIALSTATUS CERTIFIEDSTATE DEFINEDSTATUSNON EXCEPTED INTERSTATERECEIVED BY DMVISSUED 03/13/2024EXPIRES 03/13/2025SELF CERTIFICATION:NAME W BART WHITELICENSE 6097STATE COSTATE DEFINEDDESCRIPTIONCHREGISTRATION # PHONE NUMBER AVAILABLESPECIALTY CHIROPRACTORPHONE PHONE NUMBER AVAILABLEMEDICALEXAMINERCLEAR HISTORY REPORTNOTESTOTAL STATE POINTS : 0CDL Med Status: Medically Certified Meets Standard Cust Pts:12 MONTH POINTS: 024 MONTH POINTS: 0TYPE: ADULT CLASS A PERMITISSUE: 3/13/2024, EXPIRATION: 9/9/2024STATUS: COMPLETEDTYPE: ADULT REGULAR LICENSEISSUE: 3/6/2020, EXPIRATION: 3/8/2025STATUS: UPGRADEDTYPE: ADULT MOTORCYCLE PERMITISSUE: 5/25/2018, EXPIRATION: 5/25/2021STATUS: RENEWTYPE: ADULT INSTRUCTION PERMITISSUE: 5/6/2015, EXPIRATION: 5/6/2018STATUS: COMPLETEDTYPE: ADULT REGULAR LICENSEISSUE: 5/6/2015, EXPIRATION: 3/8/2020STATUS: RENEWTYPE: ADULT REGULAR LICENSEISSUE: 4/6/2014, EXPIRATION: 3/8/2019STATUS: LEGACY NOT VALIDTYPE: ADULT REGULAR LICENSEISSUE: 2/18/2009, EXPIRATION: 3/8/2014STATUS: RENEWTYPE: ADULT STATE IDISSUE: 7/11/2002, EXPIRATION: 3/8/2012STATUS: RETURNED TO DEPARTMENTTYPE: ADULT REGULAR LICENSEISSUE: 10/29/1999, EXPIRATION: 3/8/2004Printed on: 05/08/2024 13:09:58 Medina, CarlosDISPP 8E Case No.: 33801578WWW.DRIVERIQ.COMCONFIDENTIALSTATUS: NEW ISSUANCETYPE: ADULT INSTRUCTION PERMITISSUE: 10/29/1999, EXPIRATION: 7/29/2000STATUS: COMPLETEDTYPE: ADULT INSTRUCTION PERMITISSUE: 6/18/1997, EXPIRATION: 2/18/1998STATUS: COMPLETEDTYPE: ADULT REGULAR LICENSEISSUE: 6/18/1997, EXPIRATION: 3/8/2002STATUS: LEGACY NOT VALIDTYPE: ADULT STATE IDISSUE: 4/15/1996, EXPIRATION:STATUS: REPLACEMENTTYPE: ADULT STATE IDISSUE: 5/30/1989, EXPIRATION:STATUS: REPLACEMENTTYPE: PROVISIONAL LICENSEISSUE: 12/4/1987, EXPIRATION: 3/28/1989STATUS: LEGACY NOT VALIDTYPE: PROVISIONAL LICENSEISSUE: 6/9/1987, EXPIRATION: 3/28/1989STATUS: REPLACEMENTTYPE: PROVISIONAL LICENSEISSUE: 12/18/1986, EXPIRATION: 3/28/1989STATUS: REPLACEMENTTYPE: PROVISIONAL LICENSEISSUE: 7/22/1986, EXPIRATION: 3/28/1989STATUS: REPLACEMENTINFORMATION ON THIS RECORD HAS BEEN LIMITED TO 7 YEARS END OF REPORTPrinted on: 05/08/2024 13:09:58 Medina, CarlosDISPP 8E Case No.: 33801578WWW.DRIVERIQ.COMCONFIDENTIAL