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'BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> James Culbertson, Pres. City of Lodl <br /> Patrlcia E. vannuccl, Secy. 1601 East Hazelton Avenue, P. O. Box 2009 San Joaquin County <br /> Tommy Joyce City of Escalon <br /> '. '.art Plmentel Stockton, Callfornla 95201 City of Manteca <br /> -`:-ern SuQbee 2179/460-6781 City of Rlpon <br /> Daniel L. Flores City of Stockton <br /> John 0. Mut, M.O. City of Tracy <br /> William J. Wade Jopl Khanna, M.D., M.P.M., District Health Officer San Joaquin County <br /> Mary Anna Love San Joaquin County <br /> RE: CALIFORNIA-LICENSED CONTRACTOR QUESTIONNAIRE <br /> In order to comply with State and Local Laws relative to contractor licensing and <br /> Workman's Compensation Insurance requirements, we are asking that you provide this <br /> District with the information requested below. Please answer all of the questions <br /> and return the original of this letter in the self-addressed envelope provided. <br /> Ron L . Valinoti , Acting Director- <br /> Environmental Health Division <br /> BUSINESS NAME American Enviromental Management Corporation <br /> BUSINESS ADDRESS 9719 Lincoln VillageDrCITYSacramento ZIP 95827 <br /> BUSINESS TELEPHONE NUMBERS (1) (916)364-8872 (2) 985-6666 <br /> OWNER(S) (1) C.R. & R Inc. (2) <br /> OWNER(S) ADDRESSES (1) 11292 Western Ave (2) Stanton, CA 96680 <br /> OWNER(S) PHONE NOS (1) (714)826-6320 (2) <br /> CA. , CONTRACTOR LICENSE N0. 464159 ISSUE DATE 10-23-84 EXP. DATE 10-31-88 <br /> LICENSE CLASSIFICATION (A,B,C) A IF "C" INDICATE SPECIALITY NOS. <br /> IF "C-61" CLASSIFICATION , INDICATE TYPE/S OF LIMITED SPECIALITY/ IES. <br /> ARE THE LICENSES LISTED ABOVE CURRENTLY ACTIVE AND IN GOOD STANDING? YES X NO_ <br /> IF YOU ARE SUBJECT TO WORKMAN'S CO ATION LAWS OF CALIFORNIA, DO YOU CARRY <br /> WORKMAN'S COMPENSATION INSURANCE? YES NO <br /> IF YES . HAVE YOU FILED A CERTIFICATE OF INSURANCE WITH THIS DISTRICT? YES X NO_ <br /> IF YES , EXPIRATION DATE January 1, 1989 <br /> SIGNATURE <br /> TITLE Regional Manager-En ineerin . <br /> DATE September 30, 1988 <br />