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VI/1Y/LV10r'Y `"t'p 11y 'VYVV i' ALUri H1Y2W11L14G�+ <br />DATER vED alTi� ib'- tt��QQ 1lf F SAN JOAQUIN COUNTY <br />YHV L' J Vl' J <br />EHD LOG NUMBER <br />����. <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />A40NIAENTALH1868 East Hazelton Avenue, Stockton, CA 95205-6232 a <br />EI4VIR0T ne: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />PERMITISER.NIC <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Amanda Benbow BUSINESS/AGENCY: PM Environmental Inc. <br />ADDRESS: 3400 Douglas Blvd Suite 200 CITY/STATE/ZIP: Roseville, CA 95661 <br />PHONE (1): ((916) 472-2870 PHONE (2): <br />Please allow 10 business days from date of application submittal for the records to be available. <br />Staff will contact you to arrangeWFEEH <br />nt date and time to review the requested records. <br />❑ CHECK BOX TO EXPEDITE REQUEST- $OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT ✓ DATE July 14, 2016 <br />Electronic Information: ❑ List ❑ Map —Description: <br />Street# <br />FILE ADDRESS <br />Street Name <br />City <br />EHD USE ONLY <br />nit 1 <br />• <br />4445 <br />4444 <br />North Pershing Ave <br />North Pershing Ave <br />Stockton <br />Stockton <br />I•I�j'j Z I ND <br />12495D1S56 oaLfv <br />0.0 <br />3• <br />4. <br />4501 <br />4555 <br />North Pershing Ave <br />North Pershing Ave <br />StocktonU <br />Stockton <br />p2t7 Z3fZ33, <br />F_)fg0Z1N�57J ftp 640 <br />/Unit .3 <br />5 <br />[7*Unit <br />[-]Unit 6 <br />Specific Date Range of Information Requested: From <br />❑ <br />X UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />❑ OTHER CLEANUP SITE (NON -LOP) <br />® UNDERGROUND TANK (MONITORINGIREMOVAL) <br />® ABOVEGROUND TANK <br />x1 HAZARDOUS WASTEIHAZARDOUS MATERIALS <br />❑ TIERED PERMITTED FACILITY <br />❑ TATTOOIBODY PIERCING <br />MEDICAL WASTE FACILITY <br />HOUSING ABATEMENT <br />FOOD FACILrLY <br />CHICKEN RANCHI DOG KENNEL <br />MOTELIHOTEL <br />POOLISPA <br />COMPLAwTIRESPONSE RECORDS <br />to <br />AST <br />❑ SOLID WASTE FACIL NEHICLE <br />❑WASTE TIREq tiffs.,0r _ <br />❑ DAIRY (4,5-r <br />[:]WASTEWATER TREATME T PLANT <br />❑ PUMPER TRUCKIYARDICHEMiCAL TOILETS <br />❑ LAND USE APPLICATION SITES Q '� <br />❑ 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 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 $130 deposit prior to review. ***BOXED AREA- EHD USE ONLY*" <br />Kecelvea I Ime dui. 14. LU10 z:7orlvl Ivo. UY/4 <br />