Laserfiche WebLink
—� VvtUuMwbUay, L)eQe[T1Qel UL, LUIJ IL.10 r-1VI r-innauie r_rlvlronmemai J3U0/LL`JUt3 P•UI <br /> ■ <br /> Mill■ DATE RECEI.VEp a_r EHD LOG NUMBER <br /> ■ SAN JOAQUIN COUNTY <br /> � - �e <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> DEC O L 2015 600 East Main St. Stockton, GA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: vAyw.sjgov.org/ehd <br /> l N`.IR0101 '1HEALTI-I PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: David Copp BUSINESS/AGENCY: Pinnacle Environmental Inc <br /> ADDRESS: PO Box 1956 CITY/STATE/ZIP: Paradise, CA 95967 <br /> PHONE (1): 530/872 - 2958 PHONE (2): FACSIMILE: 530 /872 - 2968 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 businesa days from date of application submittal-,Tentative only•must be confirmed) <br /> ❑ CHECK SOX TO EXPEDITE REQUEST-$115 FEE(CASH OR CHECK ONLY). REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT %�w DATE 12/21;201 5 <br /> Electronic Information: ❑ List ❑ Map— Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Nome City Unit 1 <br /> )� 1. 3440 E. Main Street Stockton �}In1 ST <br /> J 2• / '' �j ❑Unit 2 <br /> 4. ) D'Unit 3 <br /> S. <br /> 5. I <br /> p-unle a <br /> 7. 1 <br /> a. <br /> [3Unit 5 <br /> 9. J� <br /> Specific Date Rar,Oe of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITYNEHICLE <br /> 0 OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE e-fi Ie,5, 1 c-40 rC,-- <br /> Q UNDERGROUND TANK(MONITORING/RfMOVAL)C2�_ ❑DOD KENNEL ❑DAIRY �1,1 3 <br /> ®HAZARDOUS WASTE GENERATORS ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT l t <br /> ❑TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCK/YARD/CHEMICAL TOILETS <br /> ❑TATTOO/BODY PICRCINO ❑POOL/GPA ❑LAND Ur,;APPLICATION SITGB <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the type(a) of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to (2D9) 464.0138 or mail to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses, contact the EHD. Applications received after <br /> 100 pm will be proceaaed the next buaineae day. <br /> 2. 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 bo schodulod accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file is available. <br /> 4. Any file not returhed In the earns cohdltloh as released will be reorganized by EHD staff at the exPehae of the applicant. <br /> Future file reviews by the same applicant may require a$115 deposit prior to review. <br /> 5. If you need further assistance, please contact Diane Martinez, at(209)468-3425. <br /> EH0 USE ONLY <br /> 2- -1 U 3 6f 1) CAl. i <br /> -I Vro ,r u P <br /> u <br /> Received Time—Dec. 2. —2015-12 : 18PM1—No, 0106 9127x09 <br />