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`r f <br /> LTH SERVICESPUBLI EAo., ..c <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION a` <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 oq�.�Fb, <br /> (209) 468-3420 <br /> Jo-( <br /> -7z1 <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 /> ii <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 /> t!'lilNt-G� <br /> onna Heran, REHS, Director <br /> Environmental Health Division <br /> Enclosures (1) <br /> 1S <br /> U <br /> A Division of San,Joaquin County Health Care Services <br /> i <br />