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I __ 0 <br /> Michael J. Infurna Jr. <br /> Senior REHS Joaquin <br /> Site Mitigation Unit IV / LOP Public Health Health <br /> Fifth Floor Environment" <br /> Division <br /> 14 E. Weber <br /> (209) 468-3454 1 <br /> fax: (209) 468-3433 Stockton, CA., <br /> FcApm R, D <br /> 11 <br /> From: MICHAEL INFURNA, REHS <br /> TO: p Fax #: �?�-� �3 • ��53 <br /> Pages. 3 Phone.- <br /> Date: <br /> hone:Date: Re: PAPERWORK FOR DRILLING AT NEW SITE <br /> ❑ Urgent ❑ For Review❑ Please Comment❑ Please Reply❑ Please Recycle <br /> • Comments: IN ORDER TO ISSUE A BORING PERMIT 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, � &// 7 <br /> y� --,2. THE"GREEN-MFR" FORM PLUS A SEPARATE CHECK FOR$234 MADE OUT TO PHS-EHD, <br /> 3. A BORING PERMIT APPLICATION FOR EACH PARCEL AND MATCHING $89 CHECK EACH, <br /> 4. ANY CITY OR COUNTY ENCROACHMENT PERMITS OR PRIVATE PROPERTY ACCESS <br /> AGGREEMENTS. DO NOT SCHEDULE ANY DRILLING DATE UNTIL A PHS-EHD STAFF <br /> DP� MEMBER ADVISES YOU THAT THE PERMIT(S) HAVE BEEN ISSUED. <br /> 23 <br /> STATEMENT OF CONFIDENTIALITY: The information in this facsimile is legally privileged and confidential information <br /> intended only for the use of the addressee listed on this cover sheet If the reader of this message is not the intended <br /> recipient, or the employee or agent responsible to deliver it to the intended recipient,you are hereby notified that any <br /> dissemination,distribution or copying of this telecopy is strictly prohibited. If you have received this facsimile in error, <br /> please immediately notify us by telephone at the number listed on this cover sheet and return the original message to <br /> us at the above address via United States Postal Service. We will reimburse your costs in notifying us and returning the <br /> message to us. Thank You <br />