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SSE P',a�e)lwof?1`E— i a 2016-08-0805:2333(GMT) 1 884443080 From: Pawel Wcloszyn <br /> DATE RECEIVED Rus E,hiR..LOG.fJUMEt�f{: <br /> AUG 0 is 2015 SANJ.OAQUIN COUNTY <br /> € ENVIRONMENTAL HEALTH DEPARTMENT � � L <br /> 1068 East Hazelton Avenue, Stockton,CA 95205-6232 <br /> •E RO M ,;ER\"R Telephone:(209)468-3420fast(209)464-0138..Web:www.sigov.org/ehd <br /> PF.��IL7ST/S ERif ICES <br /> PUBLIC RECORDS RELEASE APPLICATION Pacific Environmental <br /> APPLICANT: Pawel Woloszyn _ BUSINESWAGENCY: anapmen, Inc, <br /> ADDRESS. 1540W El.Camino Avenue.4220 _ CITY(STATEIZIP: Sacramento-CA95833. <br /> PHONE:ja):, 916.444-.1654 PHONE';(2): FAX OR EMAIL: ppm.:inc@y?hpo.com <br /> Please af}owl.0 Business days from date of appl{cation submittal for the reeords to be:availabla: <br /> Staf and r-ontact'.you to arrange an appointment date and time to review the,requested records. <br /> DL - EUS �®b° C � E'p'WEH .WtT,Si aSF {CAW R- k, -0..0" , (�" 7N�S5IAXSPrS <br /> SIGNATURE OF APPLICANT ;,r,:�;��+��,,,, .DATE 818116 <br /> 1. List upto ten addresses in the space below. Selectthe.fype(s.)_offiles from the,list below by checking the appropriate <br /> box(es). At ieast.bne file type MU$T be.selected. Fax to 1209)464.0138.or mail to the address ind:ioated above. P.ddtess <br /> ranges will not be accepted.ApplicationaTeceived after 3:130 pm will he processed the next,qustness day.. <br /> 2. For assistance in identifying the nature and content of EHD records,please contact EHO at the number noted above. <br /> 3. TheEHIDWIll,notify the applicantifany.EHofiles exist. An appointment for review..will be confirmed approximately:ten(1:D) <br /> days after receipt of application, The files will be held fora maximum of five businessdaysfor review. Appointments <br /> should be scheduled.accordingly, <br /> 4. Any file no(returned in the same condition as released willbe reorganized by.EFiD staff at the expenseofthe applicant. <br /> Future file reviewsby the same applicant may require 9$136 deppslt prior to.reviev{. <br /> WELL AND SEPTIC PERMIT RECORDS.ARE AVAILABLE FORREVIEW: MONDAY-FRIDAY8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic information: ❑ List❑ flap—Description: <br /> Specific Date Range of Information Requested: From All Available to <br /> Eiet'r7iR13fs'M�ftlTAt;. . <br /> itEAt THIJ:E$Yt�1tS FILE ADDRESS <br /> FIE : EHD USE ONLY <br /> M UIoERGROUND TANK(O$T) Street# Street.Name. .City <br /> �1,eeww5lre(LQP.j I <br /> �J,,�� �t �� <br /> orNER CLeaw ZITE(NON-Lo,, 2601. Teepee Di�i��e StocktonT11 v t / 1 <br /> 0 HA�aPQous WASTE ❑iu. r �j I r` <br /> i�TIE=PEAr�f[nED.fnR , .'7435' Teepee Di it'e Stockton a � �(l! <br /> b9WeGROJNQ ThNr: 1�A'� <br /> m UST WMIQPneal FeMOVAL). <br /> HAZARDWS MnnMk6S $ --1365 .Teepce'DFive Storktpn_ <br /> $PY1(�.L45E RESt'tMvSE 1� <br /> SOLID WAST.Fa.rur?i VOH1-1 E 4 2735 N-Teepee Drive Stockton, wnTErt.L't:!tm <br /> POOL!SPA srr GdI1GANt1N <br /> []ocaRv / ^ <br /> E {AAD USE i4r-PUS.ATIDN.SIrEStj I(p MALI <br /> . <br /> [�SEP;lc Fuura[a TrauCr./ "`-i1°c <br /> b <br /> vweat hmsrAL.7DEeTS <br /> ❑WA:.EIi','k' TneA'"ENTPI r <br /> CS,'FA <br /> pM�TE;�H�Ta <br /> ❑QNLCKE RN4Hf 0� KEN^LL COPA,US7 <br /> _ER MEDICW.WASTE FRtLLM .& <br /> ❑TATTDOIHQ6Y Peaama - <br /> OtSAErETn;E' (g'SmzlWrstE. <br /> 9 <br /> �.C9MwJ.ihP <br /> OiWERIREA.9E SPearrY. <br /> 0 Ac_:wxm+c <br /> Waterwell&Sep tic xSystem 90 <br /> i '"e OXED AREA-ER USC ONLY"' <br /> 1 <br /> CZE <br /> ❑ Records provided by Staff-PPR Complete. Stan name. <br /> EHD 4"1 <br /> Received Time Aug. 7. 2016 10: 22PM No. 1072 <br />