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DATE RECEIVED <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />PUBLIC RECORDS RELEASE APPLICATION <br />EHD LOG NUMBER <br />APPLICANT: JKristen Rini I BUSINESS/AGENCY: IPM Environmental <br />ADDRESS: 13400 Douglas Boulevard, Suite 200 CITY/STATE/ZIP: lRoseville, CA 95661 <br />PHONE (1): (916) 945-3778 1 PHONE (2):1(330) 221-3440 FACSIMILE: <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 REQUEST - $125 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT Kristen Rini DATE 5/14/2014 <br />Electronic Information: ❑ List ❑ Map — Description: <br />11900 1 <br />FILE ADDRESS <br />EHD USE ONLY <br />El Unit 1 <br />OLID WASTE FACILITYIVEHICLE i <br />Street # <br />Street Name <br />City <br />1. <br />1415 <br />est Anderson Street <br />[�1NDERGROUND TANK (MONITORING/REMOVAL) <br />loLockton <br />q M rJo��p <br />4 HMnW w T 'J�'SP p Unit 2 <br />2. <br />❑ CHICKEN RANCH/ DOG KENNEL <br />ISouth Pershing Avenue <br />ABOVEGROUND <br />7ARDOUS WASTE/HAZARDOUS MATERIALS <br />1ERED PERMITTED FACILITY <br />17�)1443 <br />MPER TRUCKIYARDICHEMICAL TOILETS <br />ND USE APPLICATION SITES <br />Navy Drive <br />OMPLAINT/RESPONSE RECORDS <br />THER (PLEASE SPECIFY) <br />JCA i ,►? 7 " cc <br />p Unit 3 <br />4 <br />WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY8:00 AM-5:OOPM (EXCLUDING <br />INavy Drive <br />5. <br />INavy Drive Iice <br />ffM ti LP sT(b .�'l ) u sP <br />,' Unit 4 <br />6 <br />7. <br />❑ Unit 5 <br />8. <br />9. <br />f nit6 <br />10. <br />Specific Date Range of Information Requested: From <br />11900 1 <br />to Present <br />ENVIRONMENT.AL HEALTH DEPARTMENT FILES <br />MIUNDERGROUND TANK CLEANUP SITE [MEDICAL WASTE FACILITY <br />OLID WASTE FACILITYIVEHICLE i <br />(UST) (LOP) <br />)449(0 r f 5106 ' <br />I <br />4ASTETIRE <br />[OTHER CLEANUP SITE (NON -LOP) <br />❑ HOUSING ABATEMENT <br />I V <br />jq <br />[�1NDERGROUND TANK (MONITORING/REMOVAL) <br />F-1FOODFACILITY <br />❑ IRY �Ao L4.1 <br />TANK <br />❑ CHICKEN RANCH/ DOG KENNEL <br />STEWATER TREATMENT PLANT <br />ABOVEGROUND <br />7ARDOUS WASTE/HAZARDOUS MATERIALS <br />1ERED PERMITTED FACILITY <br />❑ MOTELIHOTEL <br />❑ OCLISPA <br />MPER TRUCKIYARDICHEMICAL TOILETS <br />ND USE APPLICATION SITES <br />F]TATTOOIBODY PIERCING <br />OMPLAINT/RESPONSE RECORDS <br />THER (PLEASE SPECIFY) <br />Any records of <br />WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY8:00 AM-5:OOPM (EXCLUDING <br />environmental <br />concern <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 $125 deposit prior to review. ***BOXED AREA - EHD USE ONLY*** <br />5 - 0 - 5�--2- <br />II <br />0 <br />Ccs ► I MA V <br />3 S -5a4 Q I ' <br />rei <br />)449(0 r f 5106 ' <br />b� E� - <br />0310-71 <br />u Q et; i record <br />DAA / 5- Alt V P <br />f <br />V5_: ��X5J <br />-�10� X5.1-� �"10 XSJ -6113 1445 <br />-p3i0 R-0)a'S <br />) f J1 , <br />P��wiC b inesso�ne�lopn�alm ID >1ChoM view+ ITstFor i�liS Ancier5 ,�.0 �cTnxtk;�t5 s i'nc;t �� �kc7c io<%<S�y )-�"i8/14 r� <br />CVtk4m)1 eApre�,y), i5U5 Marg (►VtA•�cimaA$Fmieum/C-rrnenal eejM)CuMf• (11l /JA.+U()=o5k4 Pov.2�-rZj Foyv17). PrboicL A CD P" <br />►�15" Rdde^s�n /}�T. Prz>iid.2f1 T/s unaua.e.0• Jetta -i ;=cr ISS t.1Avy�D•O.N-indc�':� RDVIdQd 1�Ikl�tbditrf J�'J�E17Licks��st}S�C`�,,4 <br />