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San Joaquin County Environmental Health Department <br />WELL & BORING PERMIT APPLICATION SUPPLEMENTAL <br />JOB ADDRESS: PERMIT SR #: <br />LICENSED CONTRACTORS DECLARATION <br />I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of <br />Division 3 of the California Business and Professions Code and my license is in full force and effect. <br />1 --1 1 i <br />Contractor Name: C...--<,-, I; -i-L, r r\s'i/N. Poa K I e-c, INIAIt.) <br />License #: - Z- -1 <br />_,I <br />Expiration Date: q-),0 -::),01 <br />Print Name: Name: -S 0 kg 0 q %-c..- <br />(J I <br />Date: /-Z-)-(--01 -7 <br />WORKERS' COMPENSATION DECLARATION <br />I hereby affirm under penalty of perjury one of the following declarations: (check one) <br />I have and will maintain a certificate of consent to self-insure for workers compensation, as 0 provided for by Section 3700 of the Labor Code, for the performance of the work for which this <br />permit is issued. <br />rX I have and will maintain workers' compensation insurance, as required by Section 3700 of the <br />Labor Code, for the performance of the work for which this permit is issued. My workers' <br />compensation insurance carrier and policy numbers are: <br />Carrier: S±c4k- Ft i\ Policy #: Exp. Date: 10 - 7 -ao i 1 <br />I certify that in the performance of the work for which this permit is issued, I shall not employ any person in <br />any manner so as to become subject to the workers' compensation law of California, and agree that if I <br />should become subject to workers' compensation provisions of Section 3700 of the Labor Code, I shall <br />forthwith comply with those provisions. <br />Signature: Title: .s <br />Signature: <br />Print Name: <br />WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL <br />SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO $100,000, IN <br />ADDITION TO THE COST OF COMPENSATION, INTEREST, ATTORNEY'S FEES, AND DAMAGES <br />AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE <br />AUTHORIZATION FOR OTHER THAN C-57 SIGNING PERMIT APPLICATION <br /> Nan,. o C-57 Lconsad f t AuthorimiLle sentative <br />, hereby authorize p,!J of..4;orLidNA.:1-ir Na <br />to sign this San Joaquin County Well & Boring Permit Application on my behalf. I understand this <br />authorization is valid for one year and is limited) the work plan dated on the front page of this application. <br />gneturr, C- Linens • uthorraed presentative <br />Site Mitigation Well Permit Application EHD 29-01 6-23-2015