Federal Employer Identification Number (EIN): Enter the EIN of your company. Individuals (sole proprietors) who do not have an EIN may leave this item blank. Do not enter a Social Security Number. Absence of this information from public agencies or from companies operating as partnerships, corporations, or limited liability companies will prevent processing of this application. Corporation Number: Enter the number stamped on the upper right corner of the Articles of Incorporation, or the company's foreign corporation California registration number.
Operating Authorities and Identification Numbers of this Organization: Enter only numbers that belong directly to your firm. Your assigned CA number must be displayed on both sides of your trucks unless your trucks display a valid USDOT number, MC number, or Cal-T number assigned to your company. To ensure your firm receives the benefit of this vehicle marking exception, the CHP needs to have your USDOT, MC, and Cal-T numbers on file so those numbers can be cross-referenced to your assigned CA number. Enter these numbers accurately and legibly. In an emergency involving your truck or truck driver, if the driver is unable to communicate, the CHP can use these numbers to quickly find the names of your terminal emergency contact persons, which you can specify in Part 2 of this application. Supplying the CHP with all of the requested numbers that your company possesses also helps to prevent citations and accident reports belonging to other carriers from being mistakenly associated with your company's CHP safety record.
BIT Program Fees: Submit fees (check or money order, no cash) for each terminal. Fees for multiple terminals may be combined on one check or money order, but do not combine BIT fees with fees owed for any other purpose, as this will result in a delay in processing your application.
PART 2. CALIFORNIA TERMINAL
All California business locations from which vehicles described above are dispatched or operated. These may include facilities owned by another business, such as a warehouse or where the commercial motor vehicle is normally parked when not in use. Terminal may also include the private residence of an owner-operator or other small business utilizing commercial motor vehicles, if that is where the firm conducts business.
Physical Address: The street or road address of each location described above.
City - City or community name only. State is not necessary, as only locations within California need be listed.
Zip Code - The postal zip code of the terminal's physical location, whether or not the company receives mail there. The CHP uses this information to determine which CHP office serves that area.
Mailing Address: The Post Office Box or other address where mail for this terminal is received, if different from the physical address.
Initial Inspection: Check yes if this terminal (under this CA number) has ever been inspected under the BIT program. Check no if this terminal (under this CA number) has never been inspected under the BIT program.
Date when vehicles were first operated from this terminal: Enter the date BIT regulated vehicles were first operated from this terminal under this CA number.
Terminal Telephone Number: Enter the telephone number of a representative of your organization who can assist in scheduling required inspections by the CHP.
Types of Operation from this Terminal: Check all that apply. The letters next to each item are used by the CHP for coding purposes. The letter “C” is missing because that code relates to hazardous materials shippers only, not carriers. A. Truck: Check this box only if your trucks are not used to transport hazardous materials, hazardous wastes, or hazardous substances in any amount. B. Hazardous Materials: Check this box if your organization ever transports hazardous materials in quantities that require the transporting vehicle to display warning placards or that require your organization to possess a hazardous materials transportation license issued by the CHP. D. Hazardous Waste: Check this box if your organization ever transports hazardous waste for which hazardous waste transporter registration is required by Section 25163 of the California Health and Safety Code. E. Flammable Liquid Cargo Tank: Check this box if any of your vehicles are equipped with a cargo tank with a designed capacity of more than 120 gallons which is used to transport flammable liquids (such as gasoline or solvents) or combustible liquids (such as diesel fuel or kerosene).
Total Number of Vehicles Operated from this Terminal: Enter the number of vehicles operated from this terminal. Count each truck, trailer, or dolly as a separate vehicle. Include each vehicle owned, leased for a term of more than four months pursuant to Section 34501.12(a)(1) CVC, or voluntarily assumed as permitted under Section 34501.12(a)(2) CVC.
Total Fleet Intrastate and Interstate Miles in California for Most Recent Calendar Year: Enter total miles traveled in California by vehicles operated primarily from this terminal location, and the calendar year to which it applies (the previous full calendar year). This item includes both interstate and intrastate trips, which may be combined and reported as a single figure. The CHP requests this information for purposes of accident and inspection statistical analysis only. It is not used by the CHP to determine any fee or tax.
Terminal Emergency Contacts: (optional, but recommended). You may enter the names of one or two on-call individuals (or an answering service), with a day and night telephone number for each, whom you would like the CHP to contact in the event of an emergency involving a truck or driver from this terminal. These persons should be local to the terminal with which they are identified. The CHP recommends that your organization keep this information current as changes in your personnel occur, by contacting your nearest Motor Carrier Safety Unit (MCSU) shown on the reverse of this page. Be sure to specify which contact is to be deleted and who is to be the replacement, and at which terminal. Also be aware that these telephone numbers will be public information, not protected or treated as confidential numbers.
Do not return this sheet with the application.
