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<br />I Georgia Envrimnumtal Protection Division
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<br />Carol A. Couch, Ph, D., Director
<br />4244 International Parkway, Suite 104
<br />Atlanta, Georgia 30354
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<br />Cross Construction Services) IWC.
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<br />Having satisfied the requirements of The Georgia ..\shcstos Safety Act,O.C.G.A.
<br />lk.n-l, ct scq and the Rules for Asbestos Removal and Eneapsll!ation, Chapter 391-3-
<br />. .14, Is Hereby Licensed as an ASBESTOS CONTRACTOn , .
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<br />." To HCIllOVC and Encapsulate l"dablc Asbestos Containing Materials '.
<br />Wi.thin the State of Georgia. This Certificate [VIay Ht, Subject To Reyocation,
<br />, Suspension, Modificatioll Or A..nwudmenl By The Director For CauseIncludillg
<br />. .'. Evidence OfNoncomp!iancl~; Or For Any l\lisrcprcsentationMade InThe
<br />Application,Supporting Data Entered TIH~f'{:in Or Attached Thereto, Oi. Any
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<br />Subsequellt Submittals Or SUppol"("illg Data; Or Any Aticrations Affecting The Ability
<br />To Prrform Duties Prop(~rly.
<br />Company Owner/President __._____._f3us?ell E.~rn_~y____
<br />Company Mailing Address
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<br />25221 S. R. 54 West
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<br />Lutz
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<br />FL
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<br />33559
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<br />PluJ//e: (866) 907-1013
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<br />FAX (813) 907-0297 E-Mail Atltlre,\'s ccsrusty@aol.com
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<br />Compan)' License Number
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<br />. 70NF 111730
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<br />Principal Agent's Name
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<br />.______._.___________.. RusselLArney___
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<br />Agent's Date of Birtl1
<br />5/13/1963
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<br />Agent'.I' Heigl1t
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<br />6 Ft. 2 III.
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<br />Agellt's Weight
<br />220
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<br />Agentrs Authorization Number
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<br />805914730
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<br />The Company License and the Agent's Authorization are intaconnected, and the issue and
<br />expiration dates run conclll'J'ently. The issue and expiration dates shown below apply to
<br />botJz tJze Company License and the Agent's Authorization:
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<br />ISSUE DATE
<br />11/14/2008
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<br />EXPIRA TlON DA TE
<br />11/14/2011
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<br />Issued By:
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<br />Digitally '~d by DAN.... HUGHES
<br />DANA HUGH ES ~~:~~~~~=;~~C~:':~Orify
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<br />Phone:(404) 362-2704
<br />aljosie Jarkins@dnr,state.ga.us
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<br />Print Dlite Frida)', NOI'l'l/Iber /4, 2008
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