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0 PY <br /> DATE RECEIVED EHD LOG NUMBER <br /> u ✓rP Lvr SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT gqo <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> A%f t Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sigov.org/ehd <br /> IIJJ��' PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Kristen Rini BUSINESS/AGENCY: PM Environmental Inc. <br /> ADDRESS: 3400 Douglas Boulevard Suite 200 CITY/STATE/ZIP: R vi A 95661 <br /> PHONE(1): 916 945-3778 PHONE(z): 330 221-3440 FACSIMILE: NA; rini menv.com <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-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Kristen Rini DATE /22/2014 <br /> Electronic Information: ❑List❑ Map—Description: <br /> Q FILE ADDRESS EHD USE ONLY <br /> Street# Street Name cityUnit 1 <br /> 20 est Yosemite Ave Manteca N1 s �D�P <br /> est Yosemite Ave Manteca r ,n c n " unit 2 q <br /> 3. 2 <br /> , <br /> J unit 3 <br /> iL�2 g6,d <br /> Unit 4 <br /> T. <br /> 1�j iii o QN a9 7• 9 0 <br /> a. ❑Units <br /> 9. <br /> 10. unit s <br /> Specific Date Range of Information Requested: From 1900 to Present <br /> pctENVIRONMENT T FRES lG k'IieS <br /> Ly UNDERGROUND TANK(UST)CLEANUP SITE(LOP) S MEDICAL WASTE FACILITY tS SOLID WASTE FACILHYtVEHICLE ll CR <br /> CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT LyWASTE TIRE \ C <br /> UNDERGROUND TANK(MONITORING/REMOVAL) [I FOOD FACILITY QDAIRY w ,I`l <br /> E]ABOVEGROUND TANK CHICKEN RANCH/DOG KENNEL Ig WASTEWATER TREATMENT PLANT uG} <br /> (�I HAZARDOUS WASTFJHAZARDOUS MATERIALS ❑MOTEIJHOTEL PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ISTIERED PERMITTED FACILITY S[POOLISPA LAND USE APPLICATION SITES <br /> ❑TATTO01BODY PIERCING r&COMPLAINTIRESPONSE RECORDS OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00P M(EXCLUDING HOLID s) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the ny records of <br /> box(es). At least one file type MUST be selected. Fax to(2091464-0138 or mail to the address indicated ab environmental <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. Concern i <br /> 2. For assistance in identifying the nature and content of EHD records,please contact EHD at the num er no <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$125 deposit prior to review. -*BOXED AREA-EHD USE ONLY" <br /> l u / SQ VrerX11 CI s, teg e 4 <br /> /' SQ <br /> s # vided ZD . Oocec-*17 <br /> —y1ddL'0± !;A kijodj ap f]l Ebr'Allo tl2e p.)75 r l ceS SI For 04, <br /> C%f3Yt `a r (rp} I{?tn>�qx IQs In UsTtZ 4nlut4 <br /> END 49-09 <br />