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=n . IIIIIvarvl rnnacleEnvironmentalO3uct;12968 p.01 <br /> ° @ C� 1(E EHD LOG NUMBER <br /> f° . _� ��_ SAN JOAQUIN COUNTY <br /> M. ENVIRONMENTAL HEALTH DEPARTMENT <br /> OCT 3 0 2015 600 East Main St. Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES 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): 5301872. 2958 PHONE (2): FACSIMILE: 530/872 .2968 <br /> TENTATIVE*AP POI NTM ENT DATE: Time: <br /> (Pieces allow 1D business days from date of application submittal-'Tentative only-must be confirmed) <br /> [-] CHECK BOX TO EXPEDITE REQUEST-S115 FFP rr.ARH na r.HFCK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 10/30/2015 <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Maine city Unit 1 <br /> #3. 4032 <br /> 75 E. Alpine Ave Stockton Nl=(--3300 N. EI Dorado St Stockton tU ❑ Unit 2 <br /> N. EI Dorado St Stockton 10 <br /> 4. 5648 N. EI Dorado St Stockton Lo 1-0 ro it�t� W. g Unit3 �1 1 <br /> 6, 6009 N. EI Dorado St Stockton <br /> dap-c0 <br /> 6. I <br /> 7. <br /> 8. <br /> 9. <br /> 10. <br /> _ ❑ Units <br /> Specific Dab Range or inrormaiion Requesied: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACIUTYNEHICLE <br /> ®OTHER CLEANUP SITE(NDN-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> ®UNDERGROUND TANK(MONIToitmel emovAL) ❑Doe KENNEL ❑DAIRY <br /> ❑HA2ARDOus WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCK/YARDICHEMICAL TOILETS <br /> ❑TATTOO/BODY P19AGINO ❑POOL/BPA <br /> ❑ MEDICAL WASTE FACILITY ❑LAND USG APPLICATION SITGa <br /> ❑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(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 procaaaed 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 filea 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 END staff may not be Immediately available for review. A new application may be <br /> submitted when the file is available, <br /> A. Any file not returned In the same condition as released will be raorganlsed by EHD staff at the expense of the applicant. <br /> Future file reviews by the some applicant may require a$115 deposit prior to review, <br /> 5. If you need further assistance,please contact Diane Martinez, at(209) 469-3425. <br /> EHD USE ONLY <br /> '4 LOP JAjees' G'0 (of 609 M Lir 5-f-. <br /> Received Time—Oct. 30. -2015 12: IOPM—No. 9909 e127ms <br />