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0 –0,100 FAX�OM &02W�LHE PAUL 3 O? j <br /> = -- <br /> 64 <br /> '� sHoLOG NUMBER <br /> DATER���n�--� SAN [[)/�{�[}|K� COUNTY. _ <br /> ' ~ �� ENVIRONMENTAL HEALTH DEPARTMENT <br /> �WRON�r�fu HEALTH'188B East Hazelton Avenue, Stockton, CA95305-6282 ` <br /> e� /2OS\ 4�8-342OFa�; C2OS\ 4G4-D138V�eb� \w/wv goV�org/ehd <br /> nvm° '—r��� ` ' `� ' ^ <br /> �E��\P�c�om��y <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: AmandaBanbo* BUSINESS/AGENCY: PM Environmental Inc. <br /> �����E��� 54OODoug|asB|vd8uite2OO C|TYISTATE{Z(P: Roseville, CA95O61 <br /> PHONE (1): PHONE (2): FACSIMILE: <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you date d time to review thed records. <br /> L� CHECK BOX ToEXPEDITE REQUEST FEE PROCESSED|maBUSINESS DAYS <br /> S(G0ATUFtEOFAPPLICANT W DATE ju| 14 2D16 <br /> FILE ADDRESS EHID USE ONLY <br /> Street# Street Name City Unit I <br /> 4445 North Pershing Ave Stockton <br /> Stockton <br /> 4444 North Pershing Ave <br /> Stockton Ao <br /> k':�L 4501 North Pershing Ave <br /> 4. 4555 North Pershing Ave Stockton /CV Z Unit 3 <br /> "Ole /Nm <br /> 7. <br /> El Unit 5 <br /> E]Unit 6 <br /> 10 <br /> Specific Date Range o,Information Requested: From ,o <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> FX UNDERGROUND TANK 03T)CLEANUP SITE(LOP) F MEDICAL WAxTEFxc|Lnr SOLID WASTE FAc|LR7IVEH|cLE <br /> OTHER CLEANUP SITE(Now'LOP) F HOUSING ABATEMENT WASTE TIRE <br /> UNDERGROUND TANK 8NowITomwo/RsmuuAL\ FOOD FACILITY DAIRY <br /> ABOVEGROUND TANK CHICKEN RANCH/DOG KENNEL VVAxnEVVxTsnTREATMENT PLANT <br /> HAZARDOUS VVAoTdHxcxnoouxMATERIALS 7 MoTsdHnTsL PUMPER TnucxyYAom/Cxsm/oxLTOILETS <br /> TIERED PsmnnTsoFACILITY F PooL/Spo LAND USE APPLICATION SITES <br /> TAJTnuU3noYP|snc/wo [|ComPuuwT/AEnPowoFRECORDS []OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 Am-5:00pm (EXCLUDING HOLIDAYS) <br /> I. List up to ten addresses in the space above. Seiect 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 num ber noted above. <br /> o. The EHDwill notify the applicant ifany EHDfiles exist. Anappointment for review will beconfirmed approximately ten (1o) <br /> days after receipt ofapplication. The flies will heheld for amaximum offive business days for review. Appointments <br /> should hescheduled accordingly. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff atthe expense of the applicant. <br /> Future file reviews by the same applicant may require a$130 deposit prior to review. ­*BOXEDAREA- EHDUSE ^~ <br />