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Rom: Leigh To: Fax: +1 (209)4640138 Page 2 of 2 10113/2016 B:DO PM <br /> DATEREC"EI'VED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> �j ENVIRONMENTAL HEALTH DEPARTMENT <br /> OCT1 rs L016 1868 East Hazelton Avenue, Stockton, CA 95205-6232 814b05 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> ENV115100,0EWFIALHMTH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Lei h Cloven BUSINESS/AGENCY: Pinnacle Environmental Inc <br /> ADDRESS: 10 Ave. San Dimas, Unit B CITY/STATE/ZIP:San Clemente, CA 92672 <br /> PHONE (1): 949)302-4404 PHONE (2):IeiahCa pei-env.col OR E-MAIL: 8661845-4954 <br /> Please allow 10 business days from date of pa plication 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-$139 FEE (CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Leigh Cloven DATE October 13, 2016 <br /> 1. List up to ten addresses in the space below. Select the type(s)of files from the list below 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 $139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map— Description: <br /> Specific Date Range of Information Requested: From 01/01/1900 to 10/132016 <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> IX UNDERGROUND TANK(UST) Street# Street Name City <br /> CLEANUP SITE(LOP) 20 W. Turner Road Lodi n E]CONSUMER <br /> ��►- rr Cry <br /> OTHER CLEANUP SITE(NON-LOP) <br /> HAZARDOUS WASTE <br /> ���yyy `.� � ❑DAIRY <br /> TIERED PERMITTED FACILITY 12 <br /> ABOVEGROUND TANK <br /> [XUST (MONITORING I REMOVAL) ❑PWS <br /> XHAZARDOUS MATERIALS 3 <br /> SPILL/RELEASE RESPONSE n <br /> SOLID WASTE FACILITY/VEHICLE WATER QDAUTY r� <br /> 4 <br /> FOOD FACILITY <br /> ❑POOL ISP.4 SITE MITIGATION <br /> r-1 DAIRY 5 / •^/ <br /> F-1 LAND USE APPLICATION SITES <br /> Ex SEPTIC PUMPER TRUCK/ E]HOUSING <br /> 6 <br /> YARD/CHEMICAL TOILETS <br /> F]WASTEWATER TREATMENT PLANT <br /> CUPA <br /> ❑HOUSING ABATEMENT 7 <br /> F-1 MOTEL/HOTEL <br /> CHICKEN RANCH I DOG KENNEL GUPA-UST <br /> MEDICAL WASTE FACILITY a <br /> TATTOO/BODY PIERCING <br /> WASTE TIRE SOLID WASTE <br /> 9 <br /> Ix COMPLAINT <br /> OTHER(PLEASE SPECIFY): <br /> ❑ACGOUNTINI. <br /> 10 <br /> "'BOXED AREA-EHD USE ONLY" <br /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> Received Time-Oct, 13. -2016- 7: 57PM-No. 0158 <br />