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* Orkers Compensation Informati <br /> This license has workers compensation insurance with the <br /> STATE COMPENSATION INSURANCE ELND <br /> Policy Number: 1810506 Effective Date: 04/15/2005 Expire Date: 04/01/2007 <br /> State Of California <br /> ? » CONTRACTORS STATE LICENSE BOARD <br /> conxfafcr ACTIVE LICENSE s <br /> Affairs <br /> TI �a cif <br /> �Yl $5671 INDIV <br /> M° EMtty <br /> HENDERSON MAINTENANCE COMPANI <br /> -SERVICE STATION REPAIR AND <br /> MAINTE NANCE <br /> Carl ' Te~ a <br /> crntaaMwt(°) C61/D21 C61/D40 <br /> 01.27 <br /> .,1 <br /> O <br /> s;. Espiat°n OMa04/30/2007 <br /> ime Carl"Wayne" Henderson Franklin Fueling Systenaligs <br /> gnature(_, _ t, �-"- 6 Carl Henderson-Certification#: 2061133760 <br /> orltification# 006-05-2288 Henderson Maintenance Company <br /> :rdficatidn Level* 4 Cer. - -ten TVoe ate <br /> cpiration Date 2/1/2007 FM5 installation May-18-2008 <br /> FMS Programming May-29-2008 <br /> See Reverse Side for Explanation of Levels Electronic Line Leak Detection May 292008 <br /> nFOvA11MA[ <br /> CARL W HENDERSON <br /> Vm► <br /> UNDERGROUND STORAGE TANK Vml <br /> iNSTALLATION/RETROFITTING Recognizes <br /> FR!'I"'ir"P` Carl"Wayne"Henderson of <br /> individual named hereon is CERTIFIED in the category shown,having ca�.ryyay1C"Henderson of HMC-Henderson Marc.CO. <br /> so certified pursuant to successful completion of the prescribed written HMr Headermn Mute-Co. <br /> ination. Mr.Henderson is now certified <br /> Zion date:January 30,2007 Mr.Henderson w n"eerdried in the operation Ortho <br /> to instan and replace Vapariesc Manufacturing,Inc_ <br /> 5252923 U 1 <br /> Vaporiess Manufacturing,toe• LIMA 0 Lcak Defector Tester <br /> ��,._.... Mechanical Line leak DetectOrs <br /> twit^u G nM Mrr.p R9,2x116 <br /> Not valid unless signed by certificate holder. CernrtlstekneedMm b2Y,2se6 (.AdrMtwey.—fr—dAt.Mk—) <br /> certification attests to competent knowledge of codes and standards. ,MeM r^•'""'"�'�""M""^`�"°°' <br /> _��.i1c`%\ Arem WIN°.Vg1ntR.^MeaWs"^efek.IM. <br /> . .. .. Wm Wa..•V.p.trW Mnv®h"vrti6•t^� <br /> An°,w 1.wgMw al,,.fmmHY.ay,AMn.MU. <br /> ttV»..qbl <br /> 1'm.N^^.w°!..,rrW.�.xv'aM 4.:�^RM.YtMaCiae <br /> FUlnt.".renes <br /> RED JACKET Certified <br /> •.� Technician w <br /> The beawofthis card les I <br /> the <br /> Carl Wayne Henderson <br /> Technician*A25001 <br /> Mechanical Line Leak Detectors CARL W HENDERSON vrrmAnnv,. <br /> Expires 7/5/2008 CALIFORNIA UST SERVICE TECHNICIAN <br /> You rtx t comae t cerci add Ib(hf o,�n tocanfgm The individual named hereon is CERTIFIED 9n the category shown,having <br /> the cunr(asrt oertifxaticxt r tx this person. <br /> been so certified pursuant to successful completion of the prescribed written <br /> examination. <br /> Expiration date:January 30,2007 / <br /> No.5252923-UT •>. Q f r:I <br />