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APPLICATION <br /> SAN JOAQUIN COUNTY REFUSE COLLECTOR'S LICENSE <br /> THIS APPLICATION MUST BE ACCOMPANIED BY A CASHIER'S CHECK OR IRREVOCABLE <br /> LETTER OF CREDIT IN THE AMOUNT OF$20,000. (Please print or type.) <br /> 1. Business Name <br /> Roos Disposal , Inc. Phone (209) 599-8670 <br /> 2. Business Address938 Frontage Road Ripon 95366 <br /> (Address) (City) (Zip Code) <br /> 3. Owner(s)Name Eric A. Winters Phone (209) 599-8670 <br /> Home Address 23313 Highland Road Ripon 95366 <br /> (Address) (City) (Zip Code) <br /> 4. County Business License Number (City of Ripon Business License - 0200002594) <br /> I hereby certify under penalty of perjury that the above information is true and correct to the best of my knowledge and belief. <br /> Dated 11/24/03 r �D� d, <br /> SIGNATURE OF LICENSEE OR AGENT <br /> FOR COUNTY USE ONLY <br /> _/� DEPARTMENT OF PUBLIC WORKS <br /> 1. Received by � fCk Date 1.�13 Z03 <br /> 2. Deposit/Letter of Credit received. [X] Yes [ ] No <br /> 3. Applicant holds current County Business License. [X] Yes [ ] No <br /> 4. Applicant has submitted proof of adequate Workers'Compensation and <br /> Casualty Insurance. [X] Yes [ ] No <br /> 5. Applicant has submitted required financial stateme [x] Yes [ ] No <br /> 6. Reviewed and recornmended for approval by: <br /> FOR COUNTY USE ONLY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1. Received by 0yVyV'4-- <br /> 2. Applicant has the ability to comply with all applicable County regulations and ordinances=4 State Law. <br /> Yes .[ ] No <br /> 3. Reviewed and recommended for approval by: <br /> ------------------ <br /> BOARD OF SUPERVISORS <br /> COUNTY OF SAN JOAQUIN,STATE OF CALIFORNIA <br /> -__ <br /> REFUSE COLLECTOR'S LICENSE NO. <br /> POST IN A CONSPICUOUS PLACE <br /> A license to collect recyclable materials within the unincorporated area of the County is hereby issued to <br /> This Board Order shall constitute such license. The licensee shall conduct its <br /> operations under the license in accordance with all applicable local ordinances,rules and regulations and State law. This <br /> license is subject to revocation by this Board,is non-transferable,and is issued for an indefinite period of time. <br /> I hereby certify that the above Order as passed and adopted on by the following vote of the <br /> Board of Supervisors,to wit: <br /> AYES: <br />