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4 <br /> Michael J. Infurna Jr. <br /> 77 <br /> Senior RENS * San Joaquin County Public <br /> Site Mitigation Unit IV ! LOP Health Services, <br /> Fifth Floor Environmental <br /> 11PHS-EHD11 <br /> (209) 468-3454 304 E. Weber <br /> fax: (209) 468-3433Stockton, CA., 95202 <br /> - <br /> r <br /> Fax5 <br /> from: MICHAEL INFURNA, REHS <br /> To: of ja� ax ¢zo !7-0 7 <br /> Pages: J 1' Phone: <br /> Date: 00 Re: PAPERWORK FOR DRILLING AT N SITE. <br /> •Comments: IN ORDER TO ISSUE THE BORING PERMIT(S)-FOR THE WORK YOU ARE ` <br /> PROPOSING,THE FOLLOWING PAPERS WILL NEED TO BE COMPLETED,SIGNED,AND <br /> RETURNED TO PHS-EHD FOR REVIEW AND APPROVAL: <br /> 1. A WORK PLAN,COMPLETE WITH THE PHASE 1 INFORMATION(i.e.,above ground usage& <br /> history),°tiyus�o/ �Ye�pcne PeiG <br /> 2: THE"UNIT IV-MFR"FORM PLUS A SEPARATE CHECK FOR$234 MADE'OUT TO"PHS-EHD", <br /> 3. A BORING PERMIT APPLICATION and SIGNED"LICENSED CONTRACTOR DECLARATIONS /) <br /> FOR EACH PARCEL AND MATCHING$89 CHECK EACH, <br /> 4. ANY CITY OR COUNTY ENCROACHMENT PERMITS OR PRIVATE PROPERTY ACCESS ' <br /> REEMENTS. DO NOT SCHEDULE A DRILLING DATE UNTIL A PHS-EHD STAFF MEMBER <br /> ADVISES YOU THAT THE PERMIT($)HAVE BEEN ISSUED. <br /> 5. SITES UNDER OTHER AGENCY(CVRWQCB or DISC)OVERSIGHT MUST HAVE THE WORK <br /> p LAN AND THE APPROVAL TO START ON FILE WITH PHS-EHD PRIOR TO ISSUANCE OF THE <br /> DtJ r rBORING PERMIT(S). THE$234 FEE MAY BE WAIVED IF THE BILLING PARTY ON FILE WITH <br /> HS-EHD IS STILL THE PARTY TO RECEIVE THE BILLING. <br /> STAMISWrOFCONRDEWMUTY. rtrr 5abrnsrfFuv N mb yC#Mb is r Pdrik9a�+ed corefder�sl+„romAera,a�eeed a ry,b me usa ams addre 1&&d w dna cuerslwet ae,. <br /> nadaramesr M@hfra9m•6aer1�anc**r4 wm•e*par..a.agarrt Spe yroaeAR.amala�nreaad+ve�ier+tfw aehaeUrnatd7eaa xmnmssenwwloq tl[strBeero,ewcop,, <br /> athtr filerapyls stkdroreAibiecd r/yerrnn..eeeMmm&f Ye.AaMeiw,pP.•ssNmred Nnppl'r WDv warmemml6eraspd w dils bW wWrMm,ft. AIW R,acs,"a <br /> us�mea�'+addm ria ur+IRC58rtes Paeafsaaca wls wvd,e:eauseyaweoatrhnad'yinq us.+OrearrNng ana,®ysmra Thw*rm <br />