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0 10969 Trade Centt*rive, Suite 107 <br /> CONESTOGA-ROVERS Rancho Cordova, California 95670 <br /> & ASSOCIATES Telephone: (916)889-8900 Fax: (916)889-8999 <br /> (§) www.CRAworld.com <br /> FRECRIMNSMITTAL <br /> DATE: May 17,2012 NM 1 1 2012REFERENCE NO.: 240854 <br /> Shell Service Station, <br /> ENVIRONMENTAL HEALTH 6131 Pacific Avenue, <br /> PERMIT/SERVICES <br /> PROJECT NAME: Stockton,CA <br /> Ms. Lisa Medina <br /> To: <br /> San Joaquin County Environmental Health <br /> Department <br /> 1868 East Hazelton Avenue <br /> Stockton,California 95205 <br /> Please find enclosed: ❑ Draft ❑ Final <br /> ® Originals ❑ Other <br /> ❑ Prints <br /> Sent via: ® Mail ❑ Same Day Courier <br /> ❑ Overnight Courier ❑ Other <br /> QUANTITY DESCRIPTION <br /> 2 Permit Application with required information(Driller's Authorization and site plan) <br /> 1 Master File Record Form <br /> 1 Site Plan <br /> 1 Permit fee in the amount of$625.00. <br /> ❑ As Requested ® For Review and Comment <br /> ❑ For Your Use ❑ <br /> El <br /> COMMENTS: <br /> Please contact Chris Benedict at 916-919-5808 for any questions or comments regarding this application. <br /> Copy to: Filing �� <br /> Completed by: Chris Benedict Signed <br /> [Please Print] <br /> Filing: Correspondence File <br />