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San Joaquin County Environmental Health Department <br /> WELL & BORING PERMIT APPLICATION SUPPLEMENTAL <br /> JOB ADDRESS: tiC.l IIy (4__�1� 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 /> Contractor Name: V & W rillin Inc. <br /> License#: 7209P4 4/30/2020 <br /> _ Expiration Date. _ <br /> Signature: Title: Pres dent <br /> Print Name: Karli Renae S of Date: <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 <br /> 13 provided for by Section 3700 of the Labor Code, for the performance of the work for which this <br /> permit is issued. <br /> 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: State Fund Policy#: 9115022-19 Exp. Date: 10/2/2020 <br /> 1 certify that in the performance of the work for whic this permit is issued, I shall not employ any person in <br /> any manner so as to become sub ect to the worke s' compensation law of California, and agree that if I <br /> should become subject to wor tarslcompen sation provisions of Section 3700 of the Labor Code, I shall <br /> fo hwith comply ith those provisions. <br /> Signature: :I, N1 1) <br /> Print Name: Karli Renae Stroin <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 APPLICATI N <br /> I, Karli Renae Stroing hereby uthorize CIYZ <br /> S <br /> Name of C-7 Liconaed Authorized epresentntive not N- o}fi ed gen <br /> to sign this San Joaquin Co ty Well & Boring Permit pplic tion on my behal I understand this <br /> authorization is valid for one a and i ' ' ite t the work an ated on the front page of this application. <br /> V Signature o -S7 Licen d Autho eprn hve <br /> ci <br /> EHD 29-01 6-23-2015 Site Mitigation Well Permit Application <br />