Safety Measurement System - Inspection SC0384001104 (U.S. DOT# 426649)

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United States Department of Transportation

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Use of SMS Data/Information

FAST Act of 2015:

Readers should not draw conclusions about a carrier's overall safety condition simply based on the data displayed in this system. Unless a motor carrier has received an UNSATISFACTORY safety rating under part 385 of title 49, Code of Federal Regulations, or has otherwise been ordered to discontinue operations by the Federal Motor Carrier Safety Administration, it is authorized to operate on the Nation's roadways.

Safety Measurement System:

The data in the Safety Measurement System (SMS) is performance data used by the Agency and Enforcement Community. A symbol, based on that data, indicates that FMCSA may prioritize a motor carrier for further monitoring.

The symbol is not intended to imply any federal safety rating of the carrier pursuant to 49 USC 31144. Readers should not draw conclusions about a carrier's overall safety condition simply based on the data displayed in this system. Unless a motor carrier in the SMS has received an UNSATISFACTORY safety rating pursuant to 49 CFR Part 385, or has otherwise been ordered to discontinue operations by the FMCSA, it is authorized to operate on the nation's roadways.

Motor carrier safety ratings are available at http://safer.fmcsa.dot.gov and motor carrier licensing and insurance status are available at http://li-public.fmcsa.dot.gov/.

Detailed Inspection Report as of 11/28/2025

Carrier Information

Carrier Name: Forms And Supply Inc
U.S. DOT#: 426649
Carrier Address: 6410 Orr Road
Charlotte, NC 28213-6332

Time/Location

Report #: SC0384001104
Report State: SC
State: SC
Date: 3/24/2025
Start Time: 0825
End Time: 0910
Level: II. Walk-Around
Facility: Roadside
Post Crash Inspection: No
Hazmat Placard Required: No

Vehicle Information

Unit	Type	Make	Plate State	Plate Number	VIN
1	Straight Truck	DODGE	NC	JW3500	3C7WRMDL8KG675172

Carrier Violations

Vio Code	Section	Unit	OOS	Description	Included in SMS	BASIC	Reason Not Included in SMS
392.2-SLLUCR	392.2	1	No	State/Local Laws - Failure To Pay Ucr Fee	No		Not used in SMS Calculation
393.60C	393.60(c)	1	No	Windshield - Damaged Or Discolored	Yes	Vehicle Maint.
393.78A-WS	393.78(a)	1	No	Washers - Inoperative Washing System.	Yes	Vehicle Maint.
393.9A-LCL	393.9(a)	1	No	Lighting - Clearance Lamp(S) Inoperative	Yes	Vehicle Maint.