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07/09/2015 12:26:15 PM —0400 FAXCOM ANYWHERE <br />PAGE 3 OF 3 <br />DAfTMU I VE D EHD LOG NUMBER <br />SAN JOAQUIN COUNTY <br />JUL 0 9 201.0 ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />EWRONMENTAb lone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sj*gov.org/ehd <br />PERMITISERVICES PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Corinne Kennah <br />ADDRESS: 4401 Atlantic Avenue, Suite 220 <br />PHONE (1): 714-348-2743 <br />BUSINESS/AGENCY: PM Environmental, Inc. <br />CITY/STATE/ZIP: Long Beach, CA 90807 <br />PHONE (2): kennah@pmenv.com FACSIMILE: 877-884-6775 <br />Please allow 10 business days from date of application submittal for the records to be available. <br />Staff will contact you to arrange an appointment date and time to review the requested records. <br />❑ CHECK BOX TO EXPEDITE REQ ST- $13 0 <br />f#EE (CAS R CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE 7/9/2015 <br />Electronic Information: ❑ List ❑ Map — Description: <br />FILE ADDRESS <br />EHD USE ONLY <br />1 <br />Street # <br />Street Name <br />City <br />1. <br />50 <br />West Turner Road <br />Lodi <br />pnit <br />5 rel A� ` r.4 <br />❑ Unit 2 <br />2, <br />gp <br />West Turner Road <br />Lodi <br />3. <br />1 <br />West Turner Road <br />Lodi <br />c� <br />Q Unit 3 <br />4. <br />80 <br />North Sacramento Street <br />Lodi <br />5. <br />F <br />N�1�� II ft1� ka�(6eit( Unit 4 <br />6. <br />7. <br />8. <br />% ('"S ❑ Unit 5 <br />9. <br />❑ Unit 6 <br />10. <br />Specific Date Range of Information Requested: From All available to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />❑x UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ MEDICAL WASTE FACILITY ❑ SOLID WASTE FACILITYNEHICLE <br />0 OTHER CLEANUP SITE (NON -LOP) ❑ HOUSING ABATEMENT ❑ WASTE TIRE <br />❑x UNDERGROUND TANK (MONITORING/ REMOVAL) ❑ FOOD FACILITY ❑ DAIRY <br />Q ABOVEGROUND TANK ❑ CHICKEN RANCH/ DOG KENNEL ❑ WASTEWATER TREATMENT PLANT <br />Q HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑ MOTELIHOTEL ❑ PUMPER TRUCK IYARDICHEMICALTOILETS <br />0 TIERED PERMITTED FACILITY ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br />❑ TATTOOIBODY PIERCING ❑ COMPLAINTIRESPONSE RECORDS ❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) <br />1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate <br />box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the address indicated above. Address <br />ranges will not be accepted. Applications received after 3:00 pm will be processed the next business day. <br />2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted above. <br />3. The EHD will notify the applicant if any EHD files exist. An"appointment for review will be confirmed approximately ten (10) <br />days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br />should be scheduled accordingly. <br />4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br />Future file reviews by the same applicant may require a $130 deposit prior to review. ***BOXED AREA- EHD USE ONLY*** <br />d by Staff -PPR Complete. Staff Name: <br />88/81/14 <br />Kecelved lime Jul. V. 2U1� 9:25AM No. 9121 <br />