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FIVI <br /> �I ���+++ lo: rax: ttw)go4-U1611 rage Z or Z US/mmuI1 I :Ud LOG NUMBER <br /> rmmDA &TV"t SAN JOAQUIN COUNTY <br /> ryf��9+•L�r� VIRONMENTAL HEALTH DEPARTMENT r�' /j <br /> AUG 16 LW6A ` W 1868 East Hazelton Avenue, Stockton, CA 95205-6232 '? f�ya` 7 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.slgov.org/ehd ��//VV • <br /> 0WAQNWWrALI!AUH PUBLIC RECORDS RELEASE APPLICATION <br /> PEI Mirrigt~ <br /> APPLICANT; Leigh Cloven BUSINESS/AGENCY: Pinnacle Environmental Inc. <br /> ADDRESS: 1 2 Ave. San Dimas Unit B CITYISTATEIZIP:San Clemente CA 92672 <br /> PHONE (1): 949)302-4404 PHONE (2):Fax 866)845-4954 FAX OR E-MAIL: leigh9pei-env.com <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-$139 FEE(CASH OR CHECK ONLY)-REQUEST PRDGESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE August 16 2017 <br /> 1. List up to ten addresses in the space below. Selectthe type(s)of files from the list below 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 $139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8;00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map— Description: <br /> Specific Date Range of Information Requested: From 01/01/1900 to 8/16/2017 �/y <br /> ENVIRONMENTAL 5 U-_2 Z Ft f 5. <br /> HEALTH DEPARTMENT ADDRESS EHD USE ONLY <br /> FILES �7 <br /> �UNDERDRDurID TANK(US Street 4 Street Name City m <br /> CLEANUP SITE(LOP) 1 -9 []CONSUMER <br /> OTHER CLEANUP SITE(NON ) <br /> 1.756 N. Wilson Way Stockton %A - <br /> HAZARDOUS WASTE ONP.Y <br /> [XTIERED PERMITTED FACILITY 2 <br /> (NANOVEGROUNO TANK ❑PWS <br /> 0 UST (MONITORING I REMOVAL) <br /> INHA Ous MATERIALS a <br /> [NSPILVRELEASE RESPONSE DATER QDNm( <br /> SOLID WASTE FACILITY I VEHICLE A <br /> ❑FOOD FACILITY <br /> SITE MITIGATION <br /> ❑PGOL ISPA <br /> ❑DAIRY 5 <br /> ❑LAND USE APPLICATION SITES ❑HDWING <br /> SEPTIC PUMPER TRUCK I <br /> 6 <br /> V+RO I CHEMIC!L TOILETS <br /> WASTEWATER TREATMENT PLANT COPA <br /> ❑HOUSING ABATEMENT <br /> ❑MOTELMOTEL <br /> CUPA-DET <br /> DHIGKEN RANGH/DOG KENNEL <br /> MEDICAL WASTE FACILITY a <br /> TATTOO/BODY PIERCING OLO WASTE <br /> WASTE TIRE <br /> 9 <br /> COMPLAINT <br /> OTHER(PLEASE SPECIFY): AGWUNTING <br /> 10 <br /> _SOXEO AREA•EHD 115E ONLY- <br /> 43( pt <br /> lG/ Ea Con .r f� Q <br /> q. -''. mM ll�t <br /> 23 ( r` �JA R a l- i 5 5 l ryw5 <br /> rf`P 'n Br in ST <br /> Received Time—Aug. 16. -2017-12: 03PM—No. 2111 T7q--(-7 : rov: 001,h 3Fijef. f- o- IC& <br />