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floARo of TRUSTERS <br />James Culbertson, Pr®s. <br />Patricia E. vannucale f OO - <br />Tommy Joyce <br />Fort Pimentel <br />Farn SUQtas® <br />oanlal L. Floss <br />John 0. Mast. M.O. <br />William J. Wads <br />Mary Anna Lava <br />e <br />i f 0 <br />1601 E"t Haftlt*n A"rwOs P- 0' Box 2009 <br />Stockjon. <br />0c <br />dopl Khanna, M.D.. M.P.M., District Haallb 0111110at <br />SERVING <br />City of Lodi <br />San Joaquin County <br />City of Eaalon <br />City of Monts" <br />City of Ripon <br />City of Stockton <br />City of Tracy <br />Ban Joaquin County <br />San Joaquin County <br />RE: CALIFORNIA -LICENSED CONTRACTOR QUESTIONNAIRE <br />In order to comply with State and Local Lawsrelative askingt actor li enside anthdis <br />Workman's Compensation Insurance requirement s, aare <br />and <br />District with the information <br />oft thiseletterdinethe. self-addressed answer <br />ns ere all <br />of the <br />questions <br />and return the 9 <br />Ron Le Valinoti, Director <br />Environmental Health Division <br />T. <br />BUSINESS NAME Groundwater Resources, n.c: (GRI) CA ZIP 93313 <br />BUSINESS ADDRESS 5400 Aldrin Ct• C$35®7700 (2) Bakersfield, <br />BUSINESS TELEPHONE NUMBERS (1) (805) <br />OWNER(S) (1) California Corporation (2) <br />(2 ) <br />OWNER(S) ADDRESSES (1) <br />s <br />OWNER(S) PHONE NOS (1) t2, 11-30-87 EXP. DATE 11-30-89 <br />CA CONTRACTOR LICENSE NO. 520768 ISSUE DATE <br />LICENSE CLASSIFICATION (A,B,C) "A" IF "C" INDICATE SPECIALITY NOS° _--- <br />IF 11C_61" CLASSIFICATION, INDICATE TYPE/S OF LIMITED SPECIALITY/IES. <br />ARE THE LICENSES <br />LISTED ABOVE CURRENTLY ACTIVE AND IN GOOD STANDING? YES X O_._. <br />IF YOU ARE SUBJECT TO WOR <br />KMAN`S C014PENSATION XLAWS OF CALIFORNIA, DO YOU CARR <br />WORKMAN'S COMPENSATION INSURANCE? YES <br />IF YES, HAVE YOU FILED A CERTIFICATE OF INSURANCE WITH THIS o DISTRICT? <br />YES <br />.--NO- <br />- <br />IF YES' EXPIRATION DATE on 4-20-89 will order copy .. r,,,,.,...._..-..—.�- <br />1ce xpira ion <br />SIGNATURE2 <br />TITLE Vice President_MAW---- <br />DAT <br />DAT E April 18, 1989 <br />