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µ ) <br /> Michael J. Infurna Jr. <br /> Senior REHS ' <br /> Site Mitigation Unit IV ! LOP Public Health <br /> Fifth Floor Environmental <br /> (209) 468-3454 304 E. Weber <br /> fax: (209) 468-3433 Stockton, CA., 95202 <br /> Fcax FM!D <br /> From: MICHAEL INFURNA, REHS <br /> To: VIRONEX DRILLING <br /> Fax #: 510-266-0963 <br /> Pages: 3 (includes cover sheet) <br /> Phone: <br /> Date: November 8, 1999 <br /> Re: BORING PERMIT APPLICATION, & BACK PAGE (LCD) <br /> i Comments: <br /> HERE ARE THE NEW FORMS WE ARE USING FOR BORING 1 WELLPERMITS. YOU SHOULD <br /> SAVE THESE AS MASTERS AND REPRODUCE THEM AS YOU NEED. IF THE CONSULTANT <br /> SIGNS THE APPLICATION, THE C-57 MUST FILL IN THE BOTTOM OF THE "LICENSED <br /> CONTRACTOR DECLARATION"(LCD). <br /> THE C-57 SHOULD CHECK(drLL AREAS THAT ARE RELEVANT. ONLY THE C-57 CAN SIGN <br /> THE LCD OR THE "AUTHORIZATION TO SIGN" AREA. THE CONSULTANT OR THE C-57 <br /> CONTRACTOR CAN FAX THE SIGNED FORMS TO PHS-EHD. <br /> PLEASE COMPLETE ONE NOW FOR 1034 S. CENTRAL AVE, TRACY FOR "GETTLER-RYAN" <br /> for OFFSITE WORK IN THE CITY OF TRACY RIGHT OF WAY. DAVID HERZOG HAS SIGNED <br /> THE APPLICATION THAT'S ON MY DESK NOW. PLEASE AUTHORIZE HIM TO SIGN FOR YOU <br /> FOR THIS WORK. I'LL COMPLETE THE TWO BLANKS AT TOP AFTER YOU FAX IT TO <br /> ME....THANKS <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 messsge is not the intended recipient, or the employee or agent <br /> responsible to deliver it to the intended redpient,you are hereby notified that any dissemination,distribution or copying of this telecopy is <br /> strictly prohibitedif 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 />