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r \; <br /> PUBLIC I EALTHAq�.N <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Ernest ,N1. Fujimoto, M.D., M.P.H., Acting Health Officer <br /> 445 N. San Joaquin Street a P.O. Box 388 • Stockton, CA 95301-0388 �4tiFaa��P <br /> (309) 468-3430 <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 /> 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 /> Donna Heran, RENS, Director <br /> Environmental Health Division <br /> Enclosures (1) <br /> A Ui%kion of San Joaquin Count} Neaith Care Service. <br />