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
Patel
First Name
Priya
Middle Name
Anand
Date of Birth
08/12/1993
Social Security Number
XXX-XX-3047
Phone Number
359-469-5960
Email Address
priyapatel@yahoo.com
Application Date
07/12/2025
Current Address
2200 Superior Ave, Cleveland, OH 44114
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 |
|---|---|---|---|
| 2200 Superior Ave | Cleveland, OH 44114 | 08/2021 | Present |
| 1735 E 12th St, Apt 6 | Cleveland, OH 44114 | 01/2019 | 07/2021 |
4
License Information
§391.21(b)(5)
| Issuing State | License Number | Class | Endorsements | Restrictions | Expiration |
|---|---|---|---|---|---|
| Ohio | OH8493496 | Class A | T, N | None | 03/14/2026 |
5
Driving Experience
§391.21(b)(6)
Tractor-Semitrailer
4 yrs
Straight Truck
2 yrs
Reefer
3 yrs
Van / Dry
4 yrs
Flatbed
1 yr
Tanker
1 yr
Total Miles Driven (Approximate)
~380,000 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 |
|---|---|---|---|---|
| No traffic violations or forfeitures in the preceding 3-year period. | ||||
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
North Coast Express, Inc.
Employer Address
3800 Lakeside Ave, Cleveland, OH 44114
Phone
216-431-8500
Position Held
OTR Driver
From
06/2021
To
07/2025
Reason for Leaving
Seeking dedicated home time
Subject to FMCSRs?
Yes
Subject to DOT Drug/Alcohol Testing? (49 CFR Part 40)
Yes
May We Contact?
Yes
Employer Name
Buckeye Freight Group
Employer Address
5200 Transportation Blvd, Garfield Heights, OH 44125
Phone
216-587-3100
Position Held
Local / P&D Driver
From
03/2019
To
05/2021
Reason for Leaving
Promoted to OTR
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 |
|---|---|---|---|---|
| John Adams High School | Cleveland, OH | 2007 – 2011 | Yes | High School Diploma |
| Cuyahoga Community College | Cleveland, OH | 2011 – 2013 | Yes | Associate of Applied Science |
| Ohio CDL Training Academy | Parma, OH | 2019 | 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.
Priya A. Patel
Applicant Signature
07/12/2025
Date
For Carrier Use Only
Reviewed By
T. Marchlen — Fleet Compliance
Review Date
07/13/2025
Assigned Driver ID
DRV-004
Application Status
APPROVED