Wheelchair User Pass-Up

San Joaquin Regional Transit District
Bus Accessible Service Report Card
Wheelchair User Pass-Up Rider

1.	Name
2.	Metro Wheels I.D. Number
3.	Date Of Ride Year
4.	Route Number.
5.	Bus Number.
6.	Attempted Boarding Today
	BOARDING THE BUS
6a.	Time Boarding
7.	Street Traveling On:
8.	Cross Street:
9.	Northbound Southbound Eastbound Westbound
10.	Was Stop Accessible? Yes No
11.	Was Path Of Travel To Stop Accessible? Yes No
12.	Did The Operator:
13.	Did Operator Say Would Call Before Leaving?
14.	Did The Next Bus Pick You Up? Yes No
15.	How Many Minutes Did You Wait?
16.	How Did You Leave The Stop? Left In SJRT Vehicle Left Without A Ride
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