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• Date: _�31� <br /> r GEOSYNTEC CONSULTANTS Name: d✓FS S.fzd.{ <br /> Project & Task No.: W 12.0& Z,0 ( :Pmo <br /> To: Mfaa� �N �wrRa=�n►�,�puiw►� Yo7tM��P� ( t FFr=f � <br /> Address: 30'f F�ct(✓�L��/Qvr. 3� /os►� <br /> 5ftil,(,,,, C� g5'2oy SEP 0 7 2004 <br /> ENVIRONNIENT HEALI H <br /> PERMIT/SERVICES <br /> TRANSMITTAL <br /> ❑ Enclosed ❑ Tracing ❑ Drilling Logs ❑ Approved <br /> ❑ Under Separate Cover ❑ Photostats ❑ Test Results ❑ Approved as Noted <br /> ❑ Messenger ❑ Prints ❑ Documents ❑ Resubmit <br /> ❑ First Class Mail ❑ Specifications ❑ Contracts ❑ Return Corrected Prints <br /> ❑ Special Delivery ❑ Copy of Letter 9 For Approval ❑ For Comment <br /> ❑ Air Mail ❑ Sepias ❑ For Your Use ❑ <br /> ❑ Federal Express ❑ Photos ❑ As Requested <br /> Number of Drawing <br /> Copies Number Description Date <br /> _ yo <br /> � Get <br /> Remarks: fy <br /> 8Av <br /> Copy to: <br /> From: <br /> GeoSyntec Consultants <br /> 475 14th Street, Suite 450 <br /> Oakland,California 94612 <br /> Telephone: (510) 836-3034 <br /> Fax: (510) 836-3036 /�,���� 41 <br /> '— <br /> J WORMSURANSMIT-W <br /> J:\FORMS\TRANSMIT-Wy X57 jgj'lN <br />