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rom:Wendy Digiomo Fax:(877)766-6495 "1 To: Fax: +1 (209)464-013B oxt_2 of 2 12/112012 10:01 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 \'A <br /> SEC ! 2 ZO ?elephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd �! <br /> W„�oNMENTALwEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> PERT " <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): 916-606-3330 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 *,7— / Stockton <br /> 2. ❑A Unit 2 <br /> 3. <br /> 4• ,,❑ Unit 3 <br /> 6• 71 Unit 4 <br /> i <br /> 7. <br /> 8. <br /> ❑Unit 5 <br /> 9. <br /> 10, <br /> O Unit fi <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> EI UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ®SOLID WASTE FACILITYIVEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATERTREATMENT PLANT <br /> ®HAZARDOUS WASTEMAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ®TIERED PERMITTED FACILITY ❑POOUSPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING ®COMPLAINTIRESPONSE RECORDS ®OTHER(PLEASE,SPECIFY)ANY HAZMAT <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)464-0136 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 appllc_ant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. 8'i7 --Et 'R>=A=' EHTri�elir7l- <br /> nrt,:i <br /> "s'm- 'r`rli➢bdauaa Svc 4w .i4e'a-r� <br /> y, - <br /> 1 .� <br /> Received Time Dec. 11 201 ,'10. 02P 1837 914112 <br />