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STATE P-0- BOX 807, SAN FRANCISCO, <br /> F <br /> UN C E <br /> CALIFORNIA gg101 <br /> CERTIFICATE OF WORKERS'COMPENSATION INSURANCE <br /> December 3, 1986 <br /> CERTIFICATE EXPIRES: #606 <br /> NUMBER- <br /> F- CERTI295-86 <br /> lo_1_g7 <br /> San Joaquin Local Health District <br /> Attn: Laurie Potulla <br /> Stockton, 2CA995201P <br /> CRtR, 100 <br /> L <br /> DEC n q 1ybo <br /> This is to certify that we have issued a valid Workers'Compensation insurance <br /> Insurance Commissioner to the employer named ENVIRCMEivTAL HEALTH <br /> This below for the polic prate in a form appro f�wt'� ��K��i Vl ES <br /> Policy isnot subject to Y Period indicated. f2�'w1"`}��t:•3fif5rma <br /> cancellation by the Fund except upon ten _ <br /> We will also give days'advance written notice to the em <br /> 9 you TEN days'advance notice should this employer. <br /> This certificate of insurance is Policy be cancelled prior to its normal ex <br /> Policies listed h not an insurance expiration. <br /> herein. Notwithstanding insurance <br /> r policy and does not amend, extend or alter the coverage <br /> respect to which this certificate of Y requirement, term <br /> described herein is subject ti insurance Issuedor condition of an afforded <br /> afforded li the <br /> 1 all the terms, exclusions and conditions <br /> or may pertain, the contract or other document <br /> ondi[ions of such insurance afforded b with <br /> Policies. /�Y the Policies <br /> / V • w'c'/-/� <br /> PRESIDENT <br /> EMPLOYER <br /> r <br /> United Truck and Auto Dismantlers <br /> 1235 E. Lockeford Street <br /> Lodi, CA 95240 <br /> SCIF 10262(REV.10-86) <br />