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COMPLIANCE INFO_2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231331
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
12/31/2020 1:15:46 PM
Creation date
8/25/2020 11:41:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0231331
PE
2351
FACILITY_ID
FA0000513
FACILITY_NAME
LODI MEMORIAL HOSPITAL
STREET_NUMBER
975
Direction
S
STREET_NAME
FAIRMONT
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03107039
CURRENT_STATUS
01
SITE_LOCATION
975 S FAIRMONT AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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KBlackwell
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EHD - Public
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tit cr "1s <br /> `� Q JL,v:c � , >- ., Lek AhoolC'; ! Fubr - - r:tr��;. Co -N5,k -` etttt ,h <br /> D[D?Eu,!r:1 M <n Nf V!'0. Arra rns <br /> sTAUTNTR LuCIENSE tiOARp Consumers Licenst Qpplic s Online Services leciia Resources <br /> •f >Arv�. <br /> Home CONTRACTORS STATE LfCENSE BOARDVia <br /> k <br /> Contractor' s License Detail for License # 1001331 <br /> DISCLAIMER: A license status check provides information taken from the CSLB license database. Before <br /> relying on this Information, you should be aware of the following limitations. <br /> e CSLB compialmdisclosure is restricted bylaw (BFP7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure villi appear <br /> below. Click on the link or button to obtain complaint and/or legal action information. <br /> Per ORP 7071.17 , only construction related civil judgments repotted to the CSLB are disclosed <br /> s Arbitrations are not listed unless the contractor fails to comply with the terms of the arbnration. <br /> s Due to workload, there maybe relevant information that has not yet been entered onto the Board's license database. <br /> Data current as of 10/9/2019 9:45:38 AM <br /> Business 110'rTlialic;n <br /> ENSELE ENTERPRISES INC <br /> dba ELITE IV CONTRACTORS <br /> 2535 WIGWAI4 DRIVE <br /> STOCKTON, CA 95205 <br /> Business Phone Number:(209) 461-6337 <br /> Entity Corporation <br /> Issue Date 02/17/2015 <br /> Expire Date 02/28/2021 <br /> Lice�lgv i>0I0$ <br /> This license is current and active. <br /> All information below should be reviewed. <br /> A - GENERAL ENGINEERING CONTRACTOR <br /> Certifications <br /> e HAZ - HAZARDOUSSUBSTANCESREMOVAL <br /> Bonding Initlffilattixn <br /> Contractor's Bond <br /> This license filed a Contractor's Bond with SURETEC INDEMNITY COMPANY. <br /> Bond Number: 127334 <br /> Bond Amount: $15,000 <br /> Effective Date: 01/0112.016 <br /> Contractor's Bond History <br /> Bond of Qualifying individual <br /> The qualifying Individual TERRY VAUGHN MASTERS certified that he/she owns 10 percent or more of the voting stock/membershlp interest <br /> of this company; therefore, the Bond of Qualifying Individual is not required. <br /> Effective Date: 02/17/2015 <br /> 6 'cr'rers, GDmpens Fin <br /> This license has workers compensation insurance with the MIDWEST EMPLOYERS CASUALTY COMPANY <br /> Policy Number:BNUWC0133392 •�- <br /> Effective Date: 10/01/2015 <br /> Expire Date: 10/01/2019 <br /> workers' Compensation History <br /> rii, ;r 6. <br /> Personnel listed on this license (current or disassociated) are listed on other licenses. <br /> s ; fit yr € 3 <br /> I 9s`'i l ' i rt l <br /> JIV <br /> . _ E <br />
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