INTRA-AGENCY

MEMORANDUM USDOT:

 

DATE:

PAGE:

PART C

 

Reason for Review:

 

Planned Action:

 

Parts Reviewed Certification (C = Reviewed, N = Not Reviewed)

325    382    383    387    390    391    392    393   395   396    397    398    399    171    172    173     177 178   180

 

 

Prior Reviews  Prosecutions             Followup                    Special Studies

                                                                                                         1)                    

 

 

 

 

Locator 1:                                              Locator 2:

 

Gross Revenue:                                            For Year Ending:

 

Unsat/Unfit Information

Does Passenger Vehicle transport more than 15 passengers, including driver?

Does carrier transport placardable quantities of HM?

Unsat/Unfit Rule:

 

Remarks:

 

 

 

 

 

 

Principal Reviewer Signature           Code No.

 

Upload Authorized:    YES      NO

 

Authorized by:                           Date:

Assistant Reviewer Signature           Code No.

Uploaded:     YES         NO       Failure Code:

Verified by:                                 Date:

    MCS-151/CR   CAPRI Version 4.21b6                           Part C