1
Motor Carrier Information
§391.21(b)(1)
Company Name
Delta Advanced Trucking, Inc.
Company Address
2475 Laver Rd., Mansfield, OH 44905
USDOT Number
3847291
MC Number
MC-1284560
2
Applicant Information
§391.21(b)(2)
Last Name
Kim
First Name
Alex
Middle Name
Joon
Date of Birth
01/04/1971
Social Security Number
XXX-XX-5629
Phone Number
675-486-1335
Email Address
alexkim@gmail.com
Application Date
07/14/2025
Current Address
780 Peachtree St, Atlanta, GA 30308
Driver Photo
Driver photo verified
Headshot on file from Delta Advanced Trucking driver records.
Position Applied For
Position
OTR Driver
Type
Full-Time
Date Available
08/01/2025
3
Residence History — Previous 3 Years
§391.21(b)(3)
| Address | City, State, ZIP | From | To |
|---|---|---|---|
| 780 Peachtree St | Atlanta, GA 30308 | 01/2019 | Present |
| 3245 Piedmont Rd NE, Apt 12 | Atlanta, GA 30305 | 04/2015 | 12/2018 |
4
License Information
§391.21(b)(5)
| Issuing State | License Number | Class | Endorsements | Restrictions | Expiration |
|---|---|---|---|---|---|
| Georgia | GA7446431 | Class A | T, N | None | 08/22/2027 |
5
Driving Experience
§391.21(b)(6)
Tractor-Semitrailer
14 yrs
Straight Truck
5 yrs
Flatbed
8 yrs
Tanker
6 yrs
Reefer
10 yrs
Doubles / Triples
3 yrs
Total Miles Driven (Approximate)
~1,400,000 miles
6
Accident Record — Previous 3 Years
§391.21(b)(7)
| Date | Nature of Accident | Location | Fatalities | Injuries |
|---|---|---|---|---|
| No reportable accidents in the preceding 3-year period. | ||||
7
Traffic Violations & Forfeitures — Previous 3 Years
§391.21(b)(8)
| Date | Violation | Location / State | Vehicle Operated | Disposition |
|---|---|---|---|---|
| 07/22/2024 | Failure to signal lane change | I-85, Fulton Co., GA | Tractor-Semitrailer | Paid / Closed |
| 11/03/2023 | Speeding — 8 mph over posted limit | I-24, Hamilton Co., TN | Tractor-Semitrailer | Paid / Closed |
8
License Denial, Revocation, or Suspension
§391.21(b)(9)
I certify that no license, permit, or privilege to operate a motor vehicle has ever been denied, revoked, or suspended.
I have had a license, permit, or privilege denied, revoked, or suspended. Details are provided below:
Details (if applicable)
N/A
9
Employment History — Previous 10 Years
§391.21(b)(10)
Employer Name
Peach State Trucking, Inc.
Employer Address
2900 Fulton Industrial Blvd, Atlanta, GA 30336
Phone
404-691-7400
Position Held
OTR Driver
From
05/2019
To
07/2025
Reason for Leaving
Relocation opportunity
Subject to FMCSRs?
Yes
Subject to DOT Drug/Alcohol Testing? (49 CFR Part 40)
Yes
May We Contact?
Yes
Employer Name
Southeastern Freight Lines
Employer Address
1450 Marietta Blvd NW, Atlanta, GA 30318
Phone
404-355-2300
Position Held
Regional Driver
From
10/2013
To
04/2019
Reason for Leaving
Sought OTR position
Subject to FMCSRs?
Yes
Subject to DOT Drug/Alcohol Testing? (49 CFR Part 40)
Yes
May We Contact?
Yes
Employer Name
Dixie Highway Transport
Employer Address
880 Memorial Dr SE, Atlanta, GA 30316
Phone
404-627-1800
Position Held
Dedicated Route Driver
From
02/2008
To
09/2013
Reason for Leaving
Company restructured routes
Subject to FMCSRs?
Yes
Subject to DOT Drug/Alcohol Testing? (49 CFR Part 40)
Yes
May We Contact?
Yes
10
Education
Industry Standard
| School / Institution | Location | Years Attended | Graduated? | Degree / Certificate |
|---|---|---|---|---|
| Grady High School | Atlanta, GA | 1985 – 1989 | Yes | High School Diploma |
| Georgia Driving Academy | Decatur, GA | 2007 | Yes | CDL Class A Certificate |
11
DOT Drug & Alcohol Testing History
§391.21(b)(10) / 49 CFR Part 40
Have you ever tested positive or refused a DOT pre-employment, random, post-accident, reasonable suspicion, return-to-duty, or follow-up drug or alcohol test with any previous employer? No
I authorize Delta Advanced Trucking, Inc. to obtain my drug and alcohol testing records from my previous DOT-regulated employers listed in Section 9, in compliance with 49 CFR §40.25.
12
Safety Performance History — Records Release Authorization
§391.23(d) / §391.53
13
Fair Credit Reporting Act Disclosure & Consent
FCRA / Industry Standard
FCRA Disclosure
In accordance with the Fair Credit Reporting Act (15 U.S.C. §1681 et seq.), Delta Advanced Trucking, Inc. may obtain a consumer report and/or investigative consumer report on you for employment purposes. This may include information about your driving record, criminal history, previous employment, education, and other relevant background information. You have the right to request disclosure of the nature and scope of any investigative consumer report and to dispute the accuracy of information contained therein.
I acknowledge receipt of the FCRA disclosure above and authorize Delta Advanced Trucking, Inc. to obtain consumer reports and/or investigative consumer reports for employment purposes.
I authorize a pre-employment background check including criminal history records and MVR from all states in which I hold or have held a license.
14
Applicant Certification & Signature
§391.21(b)(11)
Applicant Certification
I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of information on this application or any other required document may result in denial of employment or, if already employed, immediate termination. I authorize Delta Advanced Trucking, Inc. to verify all information provided and to contact all previous employers, references, and educational institutions listed herein. I understand that this application is not a contract of employment and that, if hired, my employment is at-will and may be terminated by either party at any time, with or without cause.
Alex J. Kim
Applicant Signature
07/14/2025
Date
For Carrier Use Only
Reviewed By
T. Marchlen — Fleet Compliance
Review Date
07/15/2025
Assigned Driver ID
DRV-003
Application Status
APPROVED