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�G <br /> San Joaquin County <br /> Environmental Health Department <br /> • p/• <br /> _ FORci <br /> 600 E. Main Street FAX #: ❑ (209) 464-0138 <br /> Stockton, CA 95202-3029 <br /> Phone: (209) 468-3420 ❑ (209) 468-8392 <br /> ❑✓ (209) 468-3433 <br /> FDate: 11/21/2007 Time: 1:4:) Pm <br /> # of Pages (including this sheet): q <br /> To: Greg Roberts FAX (909) 864-3032 <br /> Of: CarbonTech <br /> From: Michelle Henry Voice Phone #: (209) 953-7699 <br /> Re: 130 S. Wilson Way, Stockton <br /> ❑ Urgent ❑✓ For Review ❑✓ Please Reply ❑ Please Recycle <br /> Comments: <br /> Greg <br /> Please complete the following 3 pages of information, starting with the page headed UST System <br /> Retrofit or Repair. l am also sending a copy of the forms completed by George so you have something <br /> to compare it to. The last 2 pages headed C. Required Submittals, I am sending over for your <br /> information-this is what I am working off of for your plans. <br /> If you have y questions please contact me <br /> Mi elle enry <br /> STATEMENT OF CONFIDENTIALITY: The information in this facsimile is legally privileged and confidential information intended only for the use of the addressee <br /> listed on this cover sheet. If the reader of this message is not the intended recipient,or the employee or agent responsible to deliver it to the intended recipient, <br /> you are hereby notified that any dissemination,distribution or copying of this telecopy is strictly prohibited. If you have received this facsimile in error,please <br /> immediately notify us by telephone at the number listed on this cover sheet and return the original message to us at the above address via United States Postal <br /> Service. We vAll reimburse your costs in notifying us and returning the message to us. Thank You. <br /> EHD 48-01-012 FAX COVER SHEET <br /> REVISED 54-07 <br />