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R�-?-2086 15:4z =ROM:ENPR08 5305892230 TO:155926.8 126 <br /> CIAK-W-Mb I;_ 03:14 NM 'I, - ;ng Labs hHX NU, bb4 "d J let) UL, <br /> 113/@7i 200E <br /> 20946$3 FJ{D <br /> Ltni-t IV NVell permit Applica 011 :Supvl>�ern;ant I <br /> County En,+iranrnantal Flea <br /> ith Dopartrnerrt 1 <br /> San Joaquin 117ER101T <br /> ! JOB <br /> k icEweE® CaNY (la�tE,D <br /> �# Ct)ftln'•�G'��tih1h Si3G[7r�T(SC(Il cf(�ttn5•Gf', i <br /> I �,e rcvlslOM of Chapter. l <br /> 1 harctry am;m that l sm Ittar.sed under• P fW1,� c13 and effect <br /> ionS Cada a^.d my pcense Io in 0 <br /> of the 8uslness and Prafa <br /> Expiration EXLW: <br /> ;.!tens <br /> Date: 3 7 Corttr avr . <br /> i 'Tit: <br /> " PrintPd name: ..../DA's/ ✓j/ <br /> I 'WORKS-RS'COMPEN5AT1oN g�{�I 1.11f'�l1TtOtd <br /> (CHECK GlN"-) <br /> !hersby-A farm under perral'tir 01 1300 '3'ane of the foUcy.mg dec:e�isd'or,a: <br /> I ent to sell-Irta uns•lc r WQrker>3'wmt <br /> 1 have and M maintain a catiflcata cf cons <br /> l by Seetlar,3700 o*,the t.ibar Gado,fcr the performance of tftw work is vrhieH IN,n�:rr�lt li:lsz:ue�- <br /> yt have n worfcem'corttpan$dcn lnGurar�,23 requireo hY sl coon 3'70': Cf Br <br /> and wii(maintele tabor G:r <br /> for the azr ormnnce c4 the vvarx'far Nbich this permit Is tssile.d. M•'.f workers com�,,►,rt�itlon Ir.^.Itis!de <br /> I car er a:-Ic pcu�cr�nuu, be s a�a: <br /> �"��2Z�t�u�:•-y- Z.-.-.__.. <br /> Garde ' <br /> an itom+a, zrn9 gr <br /> eC!hart I <br /> I Cer'a`y that in the pPharmnrice rTf the work fcr vetch this prrnrolaws of cat <br /> lt i9 issue%.1 8W r>c••tc•n b d'iy'' ' <br /> I rs �f tt,I! 'CnCS l r a° <br /> i any marner so as to t;ecome��ec'to the Noricero U3tH7' <br /> pryo <br /> Section 3700 of <br /> should become S�3aetie dirt worktra'eompan3lJ1 pfO%' n <br /> {prttSuvltt cor'spiy with those;.rov',siar+s. j , - <br /> 3 /�� Pa�=—5lgnat^.Irr►:_-�ya'�.��r.�� � F ._ ..___-___----•. _..__.. <br /> Datc; <br /> ss"Mt?d Naim' - <br /> t+ e:r.:l,EgAGE IS UNLAWYtJI.,J4�tD:lIKe�1-L,SU93Z�'r <br /> l WARretNO:Ff.II.VaE TO SFCUflE 4tJORKERV CGIVIL FINES UP TO,DNI!HUNCRETA TMOL)a.t,h1E1 DOLLAA! <br /> AN EMPLOYER TO CR14Il,NAL PEf�A6 <br /> E:T,ATTO RNEY,$Fi V,1&0 CAMR sC C y iRc; <br /> 4 (Stt14,D003.114 ADDITION TO THE COST OF COMPFNEAT10 CrdM <br /> PRMMED FOR IN SEC'rGN 3706 6F TK L AHGR CODE- <br /> AU' iORt7-A-TION FOR TRAN C-67 C1Gltilll►fGs PER.MTT tpPlL,4:A"nC3N <br /> -(.�,`.��""". , r I _ �atC-8''I�tenacr!rt'thrriS2red h®'r9sr3nt,�ivc:`•; <br /> � (e l i�tsiitur <br /> hereby authorize(prim rwrm1_.___ <br /> + fiGdt}Orr Crt my""Al" t undwxtan�i thrix P:dfutrh:vrllOnc 6r{'r;adiii i'vr <br /> to sign this Sats Jafquin County Wail fsemt9.ApP <br /> one(1)year and IS Ilmitsd to the work n.a+,datea cn the front mrio ay':" <br />