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Michael J. Infurna Jr. <br /> Senior REHS San Joaquin County <br /> Site Mitigation Unit IV / LOP <br /> Fifth Floor Public Health Services <br /> Environmental Health <br /> (209) 468-3454 Division, <br /> fax: (209) 468-3433 <br /> Stockton,, CA., 95202 <br /> Fax plm <br /> From: MICHAEL INFURNA, REHS <br /> To: RAY KABLANOW II, GEOLOGICAL TECHNICS, INC., <br /> Fax #: 209-538-5852 <br /> Pages: 4 (includes cover sheet) <br /> Phone: <br /> Date: October 25, 1999 <br /> Re: BORING PERMIT APPLICATION, & BACK PAGE (LCD). <br /> • Comments: HERE ARE THE NEW FORMS WE ARE USING FOR PERMITS. <br /> YOU MAY SAVE THEM AS MASTERS AND REPRODUCE THEM AS YOU NEED. IF <br /> (YOU) A CONSULTANT SIGNS THE APPLICATION, THE C-57 SHOULD FILL IN <br /> THE BOTTOM OF THE "LICENSED CONTRACTOR DECLARATION" (LCD). ONLY <br /> THE C-57 CAN SIGN THE LCD OR THE "AUTHORIZATION TO SIGN" AREA. THE <br /> CONSULTANT OR THE C-57 CONTRACTOR CAN FAX THE SIGNED FORMS TO <br /> PHS-EHD. PROCESSING THE PERMIT CAN ONLY OCCUR AFTER THE FEES <br /> ARE RECEIVED AT PHS-EHD. PERMIT FEE IS $89 PER PARCEL PER APPROVED <br /> WORK PLAN AND ALL FORMS, (including the GREEN-MFR +$234) & WORK <br /> PLANS, AND ACCESS AGREEMENTS, SHOULD BE SENT IN AT ONE TIME. <br /> ORIGINALS SHOULD FOLLOW IN THE MAIL. <br /> Ray, for the "Bank of Stockton (Airport) site, we have no GREEN form or$2341!1 <br /> CALL ME WHEN YOU GET THIS FAX........... Here's a GREEN form also. <br /> STATEMENT OF CONFIDENTIALITY The information in this facsimile is legally privileged and confidential information intended only for <br /> the use of the addressee listed on this cover sheet If the reader of this message is not the intended recipient, or the employee or agent <br /> responsible to deliver it to the intended recipient,you are hereby notified that any dissemination, distribution or copying of this telecopy is <br /> strictly prohibited If you have received this facsimile in error,please notify us immediately by telephone at the number listed on this cover <br /> sheet and return the original message to us at the above address via United States Postal Service. We will reimburse your costs in <br /> notifying us and returning the message to us. Thank You. <br /> r <br />