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DATE RECEIVED EHD LOG NUMBER <br /> ANVIRONIVIENTAL <br /> SAN a1OAQUIN COUNTY is HEALTH DEPARTMENT t;.'` <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.orglehdlei <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:JKristen Rini BUSINESS/AGENCY: IPM Environmental _ <br /> ADDRESS: 3400 Douglas Boulevard, Suite 200 CITY/STATE/ZIP:lRoseville, CA 95661 <br /> PHONE (1): (916)945-3778 PHONE (2): 1(330)221-3440 FACSIMILE: <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-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Kristen Rini DATE 5/14/2014 <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑Unit 1 <br /> 1. 1415 est Anderson Street Stockton M ,Jocose <br /> 2. ISouth Pershin Avenue g __ .Q HMMP W ST ^'�'`•'P I],Unit2 <br /> 1443 Navy Drivec,: P <br /> 0 4 1505 Navy Drive - MM ^� <br /> Unit 3 <br /> 5. INavy Drive cIFLA !trot v sT(a ��l ) crsp <br /> 6. r_� urnuA r1 <br /> ,❑Unit 4 <br /> 7. a <br /> 8. <br /> � •; ❑Unit 5 <br /> 9. <br /> 10. ' nit 6 <br /> Specific Date Range of Information Requested: From 11900 to Present i <br /> ENVIRONMENT,AL HEALTH DEPARTMENT FILES �A'Q5 <br /> ANDERGROUND TANK(UST)CLEANUP SITE(LOP) [f/ MEDICAL WASTE FACILITY [OLID WASTE FACILITYNEHICLE <br /> [OTHER CLEANUP SITE(NON-LOP) F]HOUSING ABATEMENT d?ASTE TIRE <br /> N INDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑ IRTY uyt l.�4 <br /> ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL STEWATER TREATMENT PLANT `J <br /> ARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTE! MPER TRUCKIYARDICHEMICAL TOILETS <br /> IERED PERMITTED FACILITY ❑pOOLISPA ND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING COMPLAINTIRESPONSE RECORDS r46THER(PLEASE SPECIFY)Any records of <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDINGenvironmental <br /> concern <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.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$125 deposit prior to review. —BOXED AREA-EHD USE ONLY*** <br /> )Ihi bb 3z p() <br /> 11 3 S53 (� 1• oq `.5)o <br /> ►oG, )�f�19(a r f 510 lav T e- EK 6(J�1p7 . <br /> FA W4' PI IdPd CVAKE f 1-ecord Por Cm 1505- Aki 9U, P- r <br /> *"5-: llp'7 >�, XG3-66 -lo XS3'-616 1445 XSJ IR -012 MI A10Vt <br /> PM4%cUd' bU.]AeSS Dtal1P�110 Q'{�?1 ►l� c4vi+l+ V)ew ITSf �'or' I,41'S A4dei�c,-).(JcTlucLj" $ PacjfIc.5kk/o ,s}y 4!28114 wry <br /> (V1k}r�n Express,), iS� n(aoy(wjpKr/nUd1Pz{yv1tum/c-,sr,erW pe-kv)eumf- II�l �Ja (�sleq Poup+r:j n�g�. Praa�AAA CD Po,� <br /> (►s'Ride sdn R�r ,. R>r1 -r/S,una#cuP.lefhDl Mr 1S5 ►.1kv (D•6,N-ulde � RDVfacd 111WvaLk{odrtq leWrJ4E ITUcks*ci u,,­I <br />