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FPCTJUN 20 •'99 11;:51 rdE/:,a5 09:18 <br /> <br />P.7/7 <br />BOARD-OF TRUSTEES <br />Jim.. Cuibertaon. <br />Patricia E VinfluCCI, Seey. <br />Tommy Joyte <br />Eon Pimento! <br />Fern Supbte <br />Daniel 1, Flores <br />John D. Mast, M.D. <br />William J. Wade <br />Mary Anne Love <br />SAN JOAQUIN LOCAL HEALTH DISTRICT <br />1801 Eaat Hateiton Avenue, P. 0. Box 2009 <br />Stockton. California 95201 <br />209/468-6781 <br />JOal Khanna, 14.P.1.4., District Health Officer <br />SERVINO <br />City of Lodi <br />San Joaquin County <br />City of Eloaion <br />City at 1.4entece <br />City of Ripon <br />City of Stockton <br />City of Tracy <br />San Joaquin County <br />San Joaquin County <br />RE: CALIFORNIA-LICENSED CONTRACTOR QUESTIONNAIRE <br />In order to comply with State and Local Laws relative to contractor licensing and <br />Workman's Compensation Insurance requirements, we are asking that you provide this <br />District with the information requested below. Please answer all of the questions <br />and return the original of this letter in the self-addressed envelope provided. <br />Ron L. Valinoti, DirecAor <br />Environmental Health Division <br />BUSINESS NAME AMERICAN ENVIRONMENTAL MANAGEMENT CORPORATION <br /> <br />BUSINESS ADDRESS 9719 Lincoln V ITy net. SacraTrtento, Calif <br />ZIP 95827 <br />BUSINESS TELEPHONE NUMBERS (1) 916-364-8872 (2) 916-985-6666 <br /> <br />OWNER(S) (1) C.R. & R Inc <br />OWNER(S) ADDRESSES (1) 11292 Western Ave (2) Stanton, Calif 90680 <br />OWNER(S) PHONE NOS (1) 714-826-6320 (2) <br />CA., CONTRACTOR LICENSE NO. 464159 <br /> <br />ISSUE DATE 10-23-84 EXP. DATE loam= <br /> <br />LICENSE CLASSIFICATION (A,B,C) A IF "C" INDICATE SPECIALITY NOS. <br />IF "C-61" CLASSIFICATION, INDICATE TYPE/S OF LIMITED SPECIALITY/IES. <br />ARE THE LICENSES LISTED ABOVE CURRENTLY ACTIVE AND IN GOOD STANDING? YES .x NO <br />IF YOU ARE SUBJECT TO WORKMAN'S COMPENSATION LAWS OF CAIIFORNIA, DO YOU CARRY <br />WORKMAN'S COMPENSATION INSURANCE? YES XX NO <br />IF YES, HAVE YOU FILED A CERTIFICATE OF INSURANCE WITH THIS DISTRICT? YES NO <br />IF YES, EXPIRATION DATE <br />SIGNATURE <br />TITLE 7-7-egional ManagernineerinA Division <br />DATE June 20, 1989 <br />(2)