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Nkmov <br /> 28 : ell PM —0400 FAXCOM ANYWHERE PAGE 2 OF z <br /> ----------- <br /> 05/09/2016 6 : <br /> P1It(r"ral r— ­� SAN JOAQUIN COUNTY it <br /> .v,;E 1,VEEHD LOG NUMBER <br /> cD, ENVIRONMENTAL HEALTH DEPARTMENT '(j._--- f- a- <br /> fAtA r 19 2016 1868 East Hazelton Avenue, Stockton, CA 95205-6232 /ehd V <br /> l+d z1 CSFMENTAL U <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org <br /> ' <br /> PERMIT/SERVICE.S. PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Amanda Benbow benbow@pmenv.corn BUSINESS[AGENCY: PM Environmental Inc. <br /> ADDRESS: 3400 Douglas Blvd Suite 200 CITY/STATE/ZIP: Roseville, CA 95661 <br /> PHONE(1): (016) 472-2870 PHONE(2): 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' ESTKO EE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic information: 17 <br /> �j List E] Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name cityA)O Qu%1 aQ0 aA- It CU <br /> 1. 1115 West Yosemite Ave Manteca A!!�-r W /,Sr <br /> f-CO <br /> 1145 West Yosemite Ave Manteca 44 T wk� C3unit 2 <br /> 2. _9 <br /> $r <br /> �3 1048 West Yosemite Ave Manteca AAO&A40,+VCA I t C01 <br /> 4. 1060 West Yosemite Ave Mantecak)O . ko 60 0"Unit 3 <br /> 1257Manteca Afo <br /> West Yosemite Ave <br /> 1160 West Center Street Manteca A)O !r <br /> Al -F.fe <br /> 7. <br /> S.El El Unit 5 <br /> s <br /> Specific Date Range of Information Requested: From earliest available to present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) F-1 M FMCAL WASTE FACILITY ❑SOLID WASTE FACILITY/VEHICLE <br /> FRI OTHER CLEANUP SITE(NON-LOP) [:1 HOUSING ABATEMENT E]WASTE TIR,; ).�fj k)-,;, ?( I' <br /> XJ UNDERGROUND TANK(M ONITORINGI REMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ABOVEGROuND TANK ❑CHICKEN RANCHI DOG KENNEL WASTEWATER fREATA Eter PLANT <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALS F-1 MOTELIHOTEL ❑PUMPER TRUCKfYARDICHEMICAL TOILETS <br /> TIERED PERMITTED FACILITY F-1 POOLISPA M LAND USE APPLICATION SITES <br /> F-1 TATTOOIBODY PIERCING F1 COMPLAINTIRESPoNsE RECORDS 71 OTHER(PLEASE SPECIFY) <br /> SMELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00Am-5:00Pm (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 /> p`cx(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 /> L14 A, 1, L4 5 A'C_-'eW Ob—P L", I i 1 1; JQ:l4'a� 1) L4 P1 j <br /> L( <br /> T fi <br /> fud-lb, (Am r _Y5100 )--A 4QrJ1e_ f0e hf- <br /> - G d A Arnj <br /> ReCEf' Ved Time May ). 2016 3.--27PM No. 0J65 145- 1 0--.&rive- "0-15-16: Aud, <br /> ILA-4 J'q U0 fi.- Id'4 -A Ljt-#C' <br />