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one <br /> Michael J. Infurna Jr. <br /> Senior REHS San Joaquin <br /> Site Mitigation Unit IV / LOP Public Health Services, <br /> Fifth Floor Environmental Health <br /> (209) 468-3454 304 E. Weber <br /> fax: (209) 468-3433 Stockton, CA., 95202 <br /> Fax VD <br /> From: MICHAEL INFURNA, REHS <br /> To: ROBERT PERLOWSKI-CAMBRIA ENVIRONMENTAL SERVICES <br /> Fax #: 707-935-6649 <br /> Pages: 3 (includes cover sheet) <br /> Phone: <br /> Date: November 2, 1999 <br /> Re: BORING PERMIT APPLICATION, & BACK PAGE (LCD) for Shell <br /> Station at 2494 E. Fremont St., Stockton. (Cambria check #1857) <br /> • Comments: <br /> HERE ARE THE NEW FORMS WE ARE USING FOR BORING PERMITS. YOU MAY <br /> SAVE THEM AS MASTERS AND REPRODUCE THEM AS YOU NEED. IF (YOU) A <br /> CONSULTANT SIGNS THE APPLICATION, THE C-57 SHOULD FILL IN THE <br /> BOTTOM OF THE "LICENSED CONTRACTOR DECLARATION' (LCD). ONLY THE <br /> C-57 CAN SIGN THE LCD OR THE "AUTHORIZATION TO SIGN" AREA. THE <br /> CONSULTANT OR THE C-57 CONTRACTOR CAN FAX THE SIGNED FORMS TO <br /> PHS-EHD. <br /> STATEMENT OF CONFIDENTIALITY.The information in this facsimile is legally privileged and confidential infomiation intended only for <br /> the use of the addressee listed on this cover sheet. If the reader of this message is not the intended recipient,or the employee or agent <br /> responsible to deliver it to the intended recipient,you are hereby notified that any dissemination,distribution or copying of this telecopy is <br /> strictly prohibited. If 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 />