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ran:Wendy Diglomo Fax:(877)766.6495 To: Fax: +1(208)454-0135 Page Z ora iu.vay.< <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> D ENViKONMENTAL HEALTH DEPARTMV§r <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> DEC 12 Vi?elephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> t)Nmf:WAL"E�LTHPUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Wendy Digiorno BUSINESS/AGENCY:Pinnacle Environmental, Inc. <br /> ADDRESS: 2201 Francisco Drive#140-174 CITY/STATE/ZIP: EI Dorado Hills <br /> PHONE(1): 916-6063330 PHONE(2): FACSIMILE: 877-766-6495 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Wendy Digiorno DATE 12/11/12 <br /> Electronic information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# .Street Name City Unit 1 <br /> 1. 1950 E.Miner Stockton t O J <br /> 2. p unit 2 <br /> 3. <br /> 4. pUnit 3 <br /> 5. <br /> 6. &Unit 4 <br /> 7. iU'IQ�� <br /> To view the L MP (Hazardous <br /> 8. ^Materials Management Plan)go to the ❑ unit 5 <br /> 9. ;following website:www.sjoesdata.org <br /> 10. I?f Unit s <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ®SOLID WASTE FACIL/RYNEHICL�Ej <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT El WASTE TIRE 1.1 �-'toGJ /lir IT <br /> ®UNDERGROUND TANK(MONRORINGIREMOVAL)01-- ❑FOOD FACILITY ❑DAIRYYYom�..,, ��77 -21— <br /> Z {, ElI— <br /> ®ABOVEGROUND TANK oCHICKEN RANCHI DOG KENNEL ®WASTEWATERTI�EA'1MEt1TPLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS pS ❑MOTELIHOTEL ❑PUMPERTRUCKIYARDICHEMICALTOILE(S <br /> ®TIERED PERMITTED FACILITY 6><� ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ®COMPLAINTIRESPONSE RECORDS ®OTHER(PLEASE SPECIFY)ANY HAZMAT <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 -for additional assistance with file addresses, contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business 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 be scheduled 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 returned in the same condition as released will be reorganized by EHD staff at the expense of the_ a�p licant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. <br /> n <br /> Received Time Dec, 11. 201 ;10: 02M No! 1837 9'4112 <br />