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It LIE <br /> am Pft'a 1"oN1'�i, a 2016-08.08 05:23:33 (GMT) ��� 884443080 From: Pawel RWoloszyn <br /> [ DATE RECEIVED EHQ,LOG.NI,.1MBF <br /> Il 12ro SAN JOAQUIN COUNTY <br /> IM� AUG 2�k6 ENVIRONMENTAL HEALTH: DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton,CA 45205-6232 e45 <br /> •Eh'VIFONBII= F'' Ca Telephone:(209)468-3420 Fax:(209)464-013$Web:w.ww.sigov.0r9/ehd <br /> R'FFGITfSERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION Pacific Environmental <br /> APPLICANT:._ Pawei_'ggloszyn ----- _—.-- BUSINESS/AGENCY. snagemeit, Inc. <br /> ADDRESS: 150.30 W. EI Camino Avenue#220 CITYiSTATEIZIP: Sacramento;CA 95333 <br /> PHONE(1):, 5'-t6-444-16.54 PHONE-12): j FAX O..R E-MAIL: pem_inc@yahoo:•com <br /> Please allow 1.0 pusiness days fromdate.at application sti4.mittal for the records to be availatrie. <br /> Staff wifl contact:you to arrange an appointmerit.date-and time to review the requested records. <br /> © +ECn sgX'7q Eh?s�I^�REcs!.iSsrst 3B FEiw ic�sH�i�ct•it�x rar#tY1=��1u£sT ai�ocEss>=oaa�alJsiniO~rs[��rs <br /> SIGNATURE OF APPLICANT �Q,-u/,.Z4, DATE -8/6.176 <br /> 1. List up to ten addresses'inthespacebelow. Select the type(s)_offiles,from the list below bycheckingthe 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!den tifying 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,appointmentfor review..will be.conflrmad approximately an('f0) <br /> days after receipt of.applicatiion The files will be held fora maximum of five businessdaysfor 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 filerevlews_by the same applicant may require 4$139 deposit prior to.review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FORAEVIEW: MONDAY•FRIDAY$:DD AM.S:GDPM(EXCLUDING HOLIDAYS{ <br /> Electronic information: ❑ List ❑ Map-Description: <br /> Specific Date Range of Information Requested: From ALII Available to <br /> E'Isi/IR?JMMENTAL <br /> HEALTH DEPARTMENT FILEADDPZESSFILES EHD USE ONLY <br /> in UNDERGROUND TANK(UST) Street# Street Name. city <br /> CL NIo SITE(LORI <br /> OTHER CLEANUP SUE(Na LOP") 2001. TocpacDiiv� Stockton <br /> FtAF cOC.WASTE ,1, - 77"'r r l❑,nl,/ <br /> MTiEREDPSWITERFA rrY + 2455: Tcepce Diive Stockton e��• •T <br /> ,Q ASwE ROUN4 TAN* M- <br /> UST ftdOR,';ORRiGi RL^M ovQ IV Q"N., <br /> Q HAZVWUS'MATEPC<LS 2365 T epee DI'itce .$toc kion. <br /> Q SPtLRe EAIIa Raspmm Imo` <br /> SOLID WAVrE FA•:•iim•V Va;r 'aA:rcA:Ctrtim. <br /> c 2735 N.Teepee.:Dtive Sincicwn y�(� /������� <br /> F1 F000 FAcN( ►'J( / V�ft�Y1MAO <br /> ❑POOL f SIrA STE fdITt4A W4 <br /> cl DpIPY .III ^ <br /> / <br /> Ej LMR USE AFTLtOARDr.'-sW. vQ!1�JCMG <br /> ❑SEMti,POftl9[q TAVGY./ ' <br /> b <br /> YARD f CrrT3.ocu.Tou.ETs <br /> WA!71FW4t, '.TRIZAIL4ENTPLANT OUPA <br /> ❑HOV'SMG ABATEMLTR' �. <br /> ❑'MatzJHOTe. <br /> .Q CH.ICi(EN F(.VCN r.DaG iCENtL CUPA.VST <br /> ®MEDC 1 WASTE FACarrr <br /> Q TAT.TOOBpDYP�itUNG <br /> p YeArM TIRE <br /> 9 <br /> COLIFiM1tYT <br /> OTHERCRekSESP.EW-t - 13Aeauxrrrec <br /> R!tner wzll�.-Sepdc'System ' 'to <br /> ••°a OXED AREA-EHDL'SC ONLY", <br /> 1 f1 <br /> tOFRZ,ecordsDro-vi'dedbyS'aff-PPRComDlete. st.ffNa�,« <br /> L <br /> EHU 46-06 <br /> Received Time Au;. 7. 2016 10: 22PM No. 1072 <br />