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03/12/2015 3 : 35 : 53 PM -0400 FAXCOM ANYWHERE PAGE 2 OF 2 <br /> DATE RECEIVED • EHD LOG NUMBER <br /> RECEIVEDSAN JOQUIN COUNTY <br /> ENVIRO MENTALHEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> MAR 12 2015 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br /> ENVIRONMENTAL HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> PERMI I . iu <br /> APPLICANT: Corinne Kennah BUSINESS/AGENCY: PM Environmental <br /> ADDRESS: 4401_ Atlantic Avenue,Suite 220 CITY/STATE/ZIP: Long Beach,Ca 90807 <br /> PHONE(1): 714-348-2743 PHONE(2): kennahapmenv.com FACSIMILE: 877-884-6775 <br /> Please allow 10 business days from date of application 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-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT l t7ilv2s K c � ' DATE 3/12/2015 <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Nameci <br /> ty ❑ Unit <br /> \ 1• 1937 West Lane Stockton ter oi�^ <br /> \ 2• 2050 West Lane r I L._3 �,(?� Stockton E] Unit 2 <br /> �j 3. <br /> 2051 West Lane '�� � � ! Stockton -��� TSF►= ,� <br /> 4. <br /> 2053 West Lane - Stockton Unit 3 � <br /> 5 2055 West Lane I ? Stockton (� � <br /> o nit 4 <br /> 7. <br /> 8. <br /> ❑ Unit 5 <br /> 10. <br /> ❑ Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ©UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> XQ UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ❑x ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ©HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ©TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATToOIBODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑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 /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> Received Time Mar. 12. 2015 12:35PM No, 8307 08/01/14 <br />