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vvcv o��ay, veva ve vc, cu D 14.1ortyl r nnaca cnvronmenta DouD «aoo p.u1 <br /> DATE RECEIVE SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> C ENVIRONMENTAL HEALTH DEPARTMENT <br /> DEC 4 L 2015 600 East Main St. Stockton. CA 95202-3029 <br /> Telephone: (2o9) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONt IHEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: David Copp BUSINESS/AGENCY: Pinnacle Environmental Inc <br /> ADDRESS: PO Boz 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 business days from date of application submittal-'Tentative only-must be confirmed( <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$115 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT C� DATE 12/2;2015 <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street if Street Name City Unit 7 <br /> 1. 3440 E. Main Street Stockton LDP I "rt-S <br /> 2. <br /> ❑,unit 2 <br /> 3. ..b f V Ui1111 u{Ia <br /> 4• ' pwlla ()• MUnit3 <br /> 5. Oyu <br /> 6' 11' 1"t� nitA <br /> 7. <br /> 8. <br /> ❑Unit 5 <br /> 9. <br /> 10. <br /> rT� (q�r;�i I Iltti <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITYNEHICLE <br /> ©OTHER CLEANUP SITE(NON-LOP) ❑Foon FACILITY ❑WASTE TIRE <br /> ❑UNDERGROUND TANK(MONITORINGIREMOVAL) ❑Doo KENNEL ❑DAIRY <br /> ®HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MCTELIHOTEL ❑PUMPER TRUCK/YARD/CHEMICAL TOILETS <br /> ❑TAT700MODY PICRCING ❑POOLISPA ❑LAND USC APPLICATION SITae <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 apace above. Select the typa(s) of filae from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to (2091464-0138 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 Pre will be proceaeed the next buaineas 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 /> chould bo rchodulod 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 reorganised by EHD eteff at the expense 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 /> ENO USE ONLY <br /> N—,4 Otte -A t <br /> Received Time-Dec, 2. -2015 12 : 18PM-No. 0106 01271DS <br />