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CALIFORNIA", _DRIVER LICF-NSE <br /> B8586676 ti ' <br /> SLIASSC <br /> FXP 06/12/2021 END NONE <br /> 'n MCMILLAN <br /> 1 FN TYLOR JOE WILLIAM, <br /> 12302 ANDES AVE <br /> BAKERSFIELD,CA 93312 <br /> DOB 0611211982 <br /> ,RSTP. NONE 06121982 <br /> SEX M HAIR BRN EYES BLU <br /> HGT 6'A1" WGT 2251b ISS <br /> DD 051f017076660061CCFD@t -X05//0/2016 <br /> r <br /> State of California <br /> Division of Occupational Safety and Health <br /> 1367 E.Lassen Ave.,Suite B-4 <br /> Chico,CA 95973 (530)895.6938 <br /> N0.9201 <br /> TYLOR JOE WILLIAM MCMILLAD&O.B 6/12/82 <br /> is hereby Certified/licensed as a BLASTER <br /> Classification: (E) LIMITED: WELL SERVICE <br /> BLASTING. <br /> SEE REVERSE <br /> Limitation: NONELECTRIC INITIATION ONLY. <br /> This certification or license may be suspended or revoked if the holder <br /> violates the sate rders r regulations of the Division. <br /> z - <br /> Expires: <br /> 4/05/21 <br /> gnatur 6%Holder <br /> - ate of 4/05/16 <br /> Issued John ea issue DA <br /> OSP 1 8563 Rev.2012 <br />