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Dr. Well, Water Well Svs. 916 962-7381 p.5
<br />U.S. Department of Justice Federal Explosives Licensing Center
<br />9 Bureau of Alcohol, Tobacco, Firearms and Explosives 244 Needy Road 0810812017
<br />Federal Explosives Licensing Center (FELC) Martinsburg, West Virginia 25405
<br />www.atf.gov telephone: (877)283-3352 fax: (304)616-4401
<br />NOTICE OF CLEARANCE
<br />for individuals transporting, shipping, receiving, or possessing explosive materials.
<br />ISSUED TO: DR'WELL WATER WELL SERVICES INC Federal Explosives license/permit no.: 1 -CA -067-33-8D-02051
<br />NOTICE DATE: 08/08!2017 Expiation Datc: April 1, 2018
<br />Explosives beense/Permit Type: 33 -BSER OFFXPLOSIVES
<br />EXPIRATION DATE: This Notice expires when superseded by a newer Notice which will list all current responsible persons and employee
<br />possessors, or when the license or permit expires - whichever comes first.
<br />1 WARNING. Only those individuals listed below as RESPONSIBLE PERSONS and EMPLOYEE POSSESSORS with a background clearance
<br />status of "CLEARED" or "PENDING" are authorized to transport, ship, receive, or possess explosive materials in the course of employment with
<br />you.
<br />1 "DENIED" STATUS. If an employee possessor has a background clearance status of "DENIED", you MUST take immediate steps to remove
<br />the emplo-
<br />yee from a position requiring. the transporting, shipping, receiving, or possessing of explosive materials. Also, if the employee has been
<br />listed as a person authorized to accept delivery of explosive materials, you MUST remove the employee from such list and immediately, and in no
<br />event later than the second business day atter such change, notify distributors of such change, as stated in 27 CFR 555.33(x).
<br />CHANGE IN RESPONSIBLE. PERSONS. You MUST
<br />report any change in responsible persons to the Chief, Federal
<br />Explosives Licensing Center, within 30 days of the change and
<br />new responsible persons MUST include "appropriate identifying
<br />information" as defined in 27 CFR 555.11. Fingerprints and
<br />photos are NOT required, hoivever they will be required upon
<br />renewal of the license or permit.
<br />CHANGE OF EMPLOYEES. You MUST report any change
<br />of employee/possessors to the Chief, FELC, within 30 days.
<br />Reports relating to newly hired employees must be
<br />submitted on ATF Form 5400.28 for EACH employee.
<br />Premises Address: 4555 AUBURN BLVD #6
<br />SACRAMENTO. CA 45841
<br />Mailing Address:
<br />DR WELL WATER WELL SERVICES INC
<br />DR, WELL, WATER WELL SERVICES
<br />PO BOX 1685
<br />FAIR OAKS, CA 95628
<br />This 'Notice of Clearance' is provided to you as required by 18 U.S.C. 843(h) and MUST be retained as pan of your permanent records and
<br />be made available for examination or inspection by ATF officers as required by 27 CFR 555.121. [f you receive a Notice subsequent to
<br />this Notice, -this Notice -will no -longer be valid...
<br />In accordance with 27 CFR 555.33, Background Checks and Clearances, and 27 CFR 555.57, Change of Control, Change in Responsible
<br />Persons, and Change of Employees, ATF's Federal Explosives Licensing Center (FELC) has conducted background checks on the individual(s)
<br />you identified as a responsible person(s) and an employee,/possessor(s) on your application, or reported after the issuance of your
<br />licenseipermit.
<br />The following is a SUMMARY of the results of the background checks conducted on the individuals you reported as responsible persons
<br />and employee/possessors. ATF will be notifying ALL individuals listed on this document of their respective status by separate letter
<br />a trailed to their residence address.
<br />PLEASE 13E ADVISED THAT IT IS UNLAWFUL FOR ANY PERSON REFLECTING A STATUS OF "DENIED" TO
<br />a
<br />TRANSPORT, SHIP, RECEIVE, OR POSSESS EXPLOSIVE MATERIALS.
<br />F
<br />Please carefully review this Notice to ensure tbat all the information is accurate. If this Notice is incorrect, please return the Notice to the
<br />Chief, FELC, with a statement showing the nature of the error(s). The Chief, FELC, shall correct the error, and
<br />return a corrected Notice.
<br />Number of RESPONSIBLE PERSON(S) : 1 continued
<br />Number of EMPLOYEE POSSESSOR(S): ;
<br />LAST NAME, First Name, Middle Name Clearance Status
<br />7 LAST NANIF, First name, Middle Name Clearance Status
<br />F
<br />RESPONSIBLE PERSONS: 1
<br />WDI SCHWFDLFB,DAVIDANDREW Cleared
<br />EMPLOYEE POSSESSORS: 3
<br />a DWI COTTON. KEVIN WINFIELD Clnred
<br />5 0002 MUSCHETTO,JENNIFER GRACE Clea -ed
<br />CW3 THOMPSON, JESSE CURBS Cleared
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