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DEC-31-97 THU 12:41 PM P. 2
<br /> 1111S APPLICATION IVIL/.BE REJECI.BD IF THE CON-'MICTOR'S LICENSE 1$NOT CURBENT AND N GOOD STANDING
<br /> ONLY TOOSE CONTRACTORS HOLDING THE FOLLOWING CLAWFICATIONS MAY APPLY FOR 111ICERTH''ICATKON: "A" GENERAL
<br /> ENGINXLKING;"B"GENI•:RAL BUH.U(NC;'C12" 6.#RTII1I70RICAND PAYLHG;'(:38••FLVAIBING;" ;I/V40-SERVICE STATION bIAI.N'TE-
<br /> NANCE;AND-CW(YELL DRILLING(WATER)
<br /> fN578UCTIONS
<br /> 1. All nlq+bututs most Iw al.Iwut IB burn'If age.
<br /> 2. The appliediml"must IN tyP iNeu or cvmpletrd oa ink.
<br /> 3- Submit tloi wircut Fee--$50-00.
<br /> 4. Submit thu:glphe atilm will fel•.to(he Cnutrxtua State LicenSa&ani P.O.Buz X00).Sacramento.CA 95 M.Be smw N io('lmkt war rehlrn;aMress.
<br /> 3. - Nd-1'n wilting to the Cnntnclors Stat..LICU48 Brunt wnarrniuG tear application,relvr to the number stem 'd on the Imnt of ymocanceled check.
<br /> IMPORTANT INFORMATION
<br /> 1. .Section 71115.1 of till. 01.5luess and I'mGssian4 Cork:mads in Croda
<br /> "(a)No amtr mol xl:dl rnfinge in it rcuun d no wrovdml anion.lrs doGned in subdicumot,id),unless the quil liar for tlur lice+,,¢h:u Poor!m,upplosjvl
<br /> hw.;minus mbshnv,•a:rtirmatemt irmirrfnaho u--
<br /> (d)Fur pw Ix cs of tills"'Itum'•n•mlm';to mv,tlial alimi'bus the same m.;mine sus finnnl in Cl ulpter 6.8 tvimnem'htg with Smirilm 25300)of Division
<br /> 20 of tau+ Health and Salih Cede,if the action requires the conara 1'11 to Cliff into tin:'urvae of the Puitt,md anoost,the dog m issin l and thou au1Lm is
<br /> :n a Sile lish l p m umlt to Sectiar 35356 of the ifealth and 5atvly Curie err wry other site listed as a haaa dous w;tsm stir by I), Mpartutent of Rive
<br /> Fuhst:mcus Co mml or u site fished("I tilt National pultlatics list ltmtpded porsuanl to the Corninvloonsive mimnmmtal Reslrl)JAse, Cnrmlxnsation,ami
<br /> I,iahilns'Act of 198(I,142 U.S C.Sect.9h01 et eaq.l. 'Removal(If remtzlial action•'clues not inducts,asbestos refwenl,ntrk.its defined ut Scvliun 6501-3917
<br /> the Lj.,Cody,or ,,,it nel:tted to a hevardom nilisbo4E spill nn a Noisily
<br /> (c)U)A nmtructor.Ir,A rat Install ur revir,:Im nndergmund snnagr tank,unless talc ar"Ilwto,Inas puna lh haranlntls slbsl-1nct antirec:aion elismimdion
<br /> th•rrlulm•et pnllsml to 1111,section.
<br /> M A rontrmiar wdlo is lar a•nifkd ivory bid nn(u tmntmet lir the fu,AJlation or nwn(nvl of mt vrok-worov it took.as Jong'.Is the work is prdlmn A by a
<br /> lriunal'tor wIm IF lCrhlhXl pursimurt to Ill.,wutioo,
<br /> i3) Fur patposov of tllis stuWitisurl.'oruic"' illoot storage took"his th'i ulme ntemnng as drhused is soled irpou(z)of Srrtitm 21251 of the Health and
<br /> Safety Ccnly
<br /> N(1T1(:E TO APPLICANT
<br /> 'Tile Coma... tiun iv this zlTlicutiml is roolo"d uvdnr I eliem 20 aril.41tido 5,(:Itapter 9,owiven 3(<cunnwricing with ' TIIW')of dw Businrss and Pp)(eislous
<br /> Grill•and Bo,ild Bill,S16 IUAiromia Cade of Rtgulatiotm).All tMms of inf lsoulthnl rmp p,ted arc ouandahm'.Fosibil Q to,pnnidc ally of the n+tuimrl inrounmmnl
<br /> may n•suh In the appliliHnn Ileing r('tnnmd for(orrcvtilm.Till..inbamatiou pmddeetl will Ix'lrvtvl to th t moire eligi 'liN filr licnlsure.Tile o)19e1:11.es[KITIW do lot
<br /> the mwutenuoce of[Itis fnf(mnatim is tiw Reggrar of fimtntdrin.Omtmltars Spate incense Rnard, The infistrurnhin,mus,be traosremid to other stateor tither
<br /> goctrnlrlwal agwnl'IPI.
<br /> ❑ldicidnnts hark-die right to nasion'taw,liks on records ulainlalintd on tlaaoa In due;opury,mdvss the mcu,[[9 ile)rleori"Pd ai eanfldertud ndnrulautill-11,11 lntanlAKI
<br /> lw Sctflan 1798 7 of the]ufomuatkm Pritvcws Ad.
<br /> Upon appmaul of un:,pplitmtinn whn'h nwa4Y all c nidlt...its is detem;Imal M'tbn Rigbfrllr of Coullalm.the Inureit(the oppllGlnt will Lr pbuixt on the plrowl;
<br /> IM,Thr Imtiova list is:n'ailuldr fur islbbe 1"Slue(ilnn at illy l leallgnMrNMS Oita✓ill the Cu111nChr{State I AQTVe B@V[l. •Ili$nodi%'is furnished to tlpplfcaurs juntivamt
<br /> to Section 1:;k IT of H1,:Civil(bnle
<br /> Distdosure of yriur,¢Keil socurity omnher iSSNI or Fetlend b:nlphuyvi Ideutifieuitm Number(FIN)is m;uldamly(if tl v lilcrlsud Verity is a cmpmatfua.rani we out
<br /> required 61 pm(mde w SSW.Sathm•30 of tbv Bruns',and pnrfrssimu Cafe Will Public Law 91.1.55(42 USCA 405( 1.(2)ICI)isurlowitty cW)lectfun of wnr S$y or
<br /> WN'.Your SSN or EIN will be itsad euiatrtveN for tit.eulonomvin purposes,fm'purposes of wmplwucu with vny j tryst or mrler lire rmnds�suppm I in ascorrLuce
<br /> S,ith Xetietn 1).}51,.8 of floor loveIIJn:nil In5tIh1[Ha1rf CMIr.1,r foil.vt,•nhl'dUlnl of 16tTSjtre of M.1luin:orM elahl by a 11mmilliI 1,1 ou ninatirm enl(fy,vhich OdW,a
<br /> 4:nlmrd mininalioll and when•limpslm is rctipnn:al,ith the ru�lursting shih•.-Ilw CLSB 1,pmhihitell ffnM pr(KKld rail.,PoRr appliml lrrn if wal IJ1I fO(Ii,dOsr.wvr
<br /> SS.\or EIN. 11,adddiup,the CS1.11 shill n•lxut to lhr Fnilwhiso Tai Ihnud Illus'.applicants fa-ling In disch.r.Thr int mmthro r.glxated.The Vranchin•Tirs Board
<br /> nl•q .wwss a 11(tilta)Imnuulh,apoulto you.
<br /> MAVINAIMN-S
<br /> You ,nay be schettttllnl hr the .nwaivatiat Is Sam all IS das< fnrtn taw :Ilztphsncr.1>F chis nlgrlicatimi. A sha
<br /> ti de fiat the smtunncttisrn is mailable Wit the
<br /> (:nn[rattors State.lemon Emoo.
<br /> FAMILY SUPPORT
<br /> $a'lesn I IA50.1i of the N'ellare and InsUlmC".10iuns alr anlhmim,iBsuiet ;utanu•ys ht mAify the State Uc.pvlme:nt a S(Kial Seniors w•hou then• is rtnnlompliosm
<br /> r :
<br /> „till a Iiunil,dulgtOft talker or judltowut iii eil Icy a noun ur this stat,T3ln srl(le moluiscl the'stab:Orymdmtmt of, ill)Sr:nins m rom 1ill..this inlimnadun oil
<br /> thgrihntP it to Ill.:spv�if;al stall¢apvlcio.(which bxlulks• the(7.5111.III(,li,,,,inK age"Oes ma}be juvril dvd fruit issu)ne a h(•anso-eva'ifivau•,or registrulilm to
<br /> or liernnl so tam•let gldll tam:Ia,r31m UV1tW Ili a R•h•a.A' hirim the IIRIrI:t oth+ium
<br /> 9a rlaq
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