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DEC-04-97 12:38 PM HUNZICKER ELECTRIC 1 1 209 537 1573 P. 02 <br /> 12-04-1997 10;51AH FRO P. I <br /> T T <br /> Sh IS <br /> ruBLK, r1FALTH """'w"RVI%4.'_".' <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Kwen Furst,M.D.,M.PH., Health Officer <br /> 304 East Weber Avenue,Third Floor,Stockton,CA 95202 <br /> 209/468-3420 <br /> CONTRACTOR/CO.LNSULTAIN T!QUESTIO.NN.MW FAX: 20? 464-0138 <br /> DATE: <br /> ADDRESS. jfc,2; CvA.. // ce-4,--rue.... <br /> C 17 3'W <br /> CITY/STATEIZIP 7-i, rh*-� c-l'/ <br /> 7 <br /> pK(jj,7E No(zof 6 4-6 PHONE 2(24 63q-,96 1-7 mx(007) , 3 <br /> _411*A', <br /> 0 will <br /> '41A -, )!z /r,CA..I 3 1,-- <br /> .,L 6A,,#001 V AA_T11 E <br /> ADDRESS: /+().3 ADDRESS 40 3 60A,' ff WVC­ <br /> A <br /> an'. —/li r lCJ C' CITY, <br /> STATE:ZIP-. STATE:ZIP. Ca, <br /> .77 <br /> LICENSE 0 Ca j 6-6 0 DATLLO- 0 1973 EXF ISSUED /z 1 T 98 <br /> LICENSE CLASS I LICENSE CLASS 2 LICENSE CLASS <br /> -C'SPEC IALTY 4 ) 6 <br /> TYPES Of LvvUTED SPECIALTY(IES) <br /> LICENSE IN GOOD STANDING) N WORXBRIS CO NO UY N <br /> WORKER'S CO:4P CERTIFICATIONON FILE WrME.H.D. N EXP DATE 1 3 1 i 7 <br /> WAIVER OF WORKER'S COMP Y ( N) <br /> HAZARDOUS WASTE CLEAN UP CEA 7ffFICA TION? Al <br /> 7 ........ <br /> !`7 <br /> 7­7' 7777777 7' . <br /> , -...�:;O' , <br /> 777777 . <br /> 7 - <br /> HWjffN.#4T1QN CONSULTING FIRM? —y— SAMPLING FIRM ONLY Y rN <br /> CA REGISTERED OR CERTFIED GEOLOGIST Y NUT%MER <br /> CA REGISTERED OR CERTIFIED ENGTNEER Y NUMBER <br /> PRINT QU.ALTYING INDIVIDUAL: A <br />