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FIELD DOCUMENTS_FILE 2
EnvironmentalHealth
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5491
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3500 - Local Oversight Program
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PR0545028
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FIELD DOCUMENTS_FILE 2
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Last modified
12/6/2019 5:08:09 PM
Creation date
12/6/2019 2:54:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 2
RECORD_ID
PR0545028
PE
3528
FACILITY_ID
FA0003919
FACILITY_NAME
VAN DE POL ENTERPRISES
STREET_NUMBER
5491
STREET_NAME
F
STREET_TYPE
ST
City
BANTA
Zip
95304
CURRENT_STATUS
02
SITE_LOCATION
5491 F ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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Check a License - Contractors State License Board Page 1.of 1 <br /> I� <br /> Department-of Consur er.Affairs <br /> a►ntr Mars a a oard <br /> Contractor's License Detail - License # 906899 <br /> r: DISCLAIMER:A license status check provides information taken from the CSLB license database.Before <br /> relying on this information,you should be aware of the following limitations. <br /> I' CSLB complaint disclosure is restricted by law a l 71?4 6. If this entityis subject to public com taint disclosure,a link <br /> P for complaint disclosure will appear below.Click on the link or button to obtain complaint and/or legal action information.. <br /> Per B&P 7071.17,,only construction related civil judgments reported to the CSLB are disclosed. <br /> ''Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. <br /> %j Due to workload,there may be relevant information that has,not yet been entered onto the Board's license database.. <br /> License Number 906899 Extract Date: 1/19/2011 <br /> T S A DRILLING INC <br /> dba PENECORE DRILLING <br /> Business Information 1238 ALICE STREET <br /> WOODLAND,CA 95776 <br />,l• Business Phone Number 530 681 3198 <br /> Entity_ Corporation <br /> Issue Date 11/21/2007 <br /> ......._.,....... ............... ............... ...... ................. ....-_................. ................, <br /> Expire Date 11/30/2011 <br /> License status This license is current and active.All Information below should be reviewed <br />�.... .:_,.:.-,.,. <br /> Additional Status: _ —_.-`........ _ 7 <br /> CLASS DESCRIPTION- <br /> 4 Classifications: . r �l <br /> C57 WELL DRILLING WATER] <br /> CONTRACTOR'S BOND <br /> This license filed Contractor's Bond number 7900349022 in the amount of$12,500 with <br /> the bonding company <br /> NATIONWIDEMUTVAL INSURANCE COMPANY. <br /> Effective Date:11/21/2009 <br /> Co...ntra.ctor„'s B...o..nd..n...g..-H..istory <br /> Bonding: ...........-- .....,,,,. <br /> BOND OF QUALIFYING INDIVIDUAL <br /> 1. The Responsible Managing Officer(RMO)NGUYEN TURN.certified that he/she <br /> owns 10 percent or more of the voting stock/equity of the corporation.A bond of <br /> qualifying individual is not required. <br /> Effective Date:.11/21/2007 <br /> BOI's Bonding History <br /> This license has workers compensation insurance with the --- <br /> STATE COMPENSATION INSURPNCE FUND <br /> ----- <br /> Policy"Number:059`0000439. <br /> Workers'Compensation: Effec_tive`D a 08/07/2009 <br /> �±`Cain--c--e-l-l-a—ti-o--n-`D'a`te 02/1.7/20'1'1 `h � <br /> Wor,e;rk s=Cope_nsation H,iStory11 JI <br /> i <br /> Conditions of_Use Priv_acy_Pol.i <br /> Copyright©2010 State of California <br /> I <br /> ,11,3 https://www2.cslb.ca.gov/OnlineServices/CheckLicenseIl/LicenseDetail.aspx?LicNUM=90... 1/19/2011 <br />
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