This road sign means:

Left lane must turn left.
Truck exit only.
Trucks have the right of way.
Steep downgrade ahead.
Explanation

This sign indicates that a steep downgrade is ahead. It's a warning that you will encounter a significant downhill slope, which may be lengthy, steep, or have sharp turns. Reduce your speed before starting down the hill, and watch for large vehicles behind you because they can gather speed very quickly.

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