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,PUBLIC HEALTH SERVIOES <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DIVISION <br />Ernest M. Fujimoto, M.D., M.P.H., Acting Health Officer <br />445 N. San Joaquin Street • P.O. Box 388 • Stockton, CA 95201-0388 <br />(209) 468-3420 <br />In compliance with STATE and LOCAL contractor licensing and worker's <br />compensation laws, we are requesting that you provide copies of the following: <br />A) CONTRACTOR LICENSE (Showing Expiration Date), <br />B) WORKER'S COMPENSATION POLICY (Showing Expiration Date). <br />(If you are OWNER/OPERATOR ONLY and have No EMPLOYEES, please <br />complete the enclosed waiver and return). <br />C) CALIFORNIA LICENSED CONTRACTOR QUESTIONNAIRE (Enclosed). <br />PERMITS WILL NOT BE ISSUED until we receive this information. If you should have <br />any questions, please call Sylvia at (209) 468-3456. We appreciate your prompt <br />attention to this request. <br />Donna Heran, REHS, Director <br />Environmental Health Division <br />Enclosures (1) <br />A Dki.inn of San .luaquin Cuunt� Health Care Scrcicc. <br />