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By submitting this application, I hereby certify that the information included in this application is true and correct and authorize TanTara Transportation Corp. to conduct a thorough background investigation in accordance with state and federal laws that may include but not limited to ordering MVR and DAC reports. I authorize my previous employers to release any and all information requested by TanTara Transportation Corp. and hold them harmless of all liability from the release of said information. Also in accordance with provisions of 49CFR Part 382.405 and 382.413, I hereby authorize and require my previous and/or current employers to release the results, including any refusal to test, of all drug and alcohol tests taken by me pursuant to the provisions of 49CFR while in their employment, to TanTara Transportation Corp.

I also understand that I am hereby notified of my rights as specified in 391.23i(1) of the Federal Motor Carrier Safety Regulations. 1. The right to review information provided by my previous employer 2. The right to have errors in the information corrected by the previous employer and for that previous employer to re-send the corrected information to the prospective employer 3. The right to have a rebuttal statement attached to the alleged erroneous information, if the previous employer and the driver cannot agree on the accuracy of the information.

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Pacific Zone

5:34 PM

Mountain Zone

6:34 PM

Central (home)

7:34 PM

Eastern Zone

8:34 PM