Laserfiche WebLink
rom:Wendy Digiorno Fax:(877)766-6495 To: Fax: +1(209)464-0138 Page 2 of 2 12/11/2012 10:01 <br /> DATE RECEIVED EHD LOG NUMBER <br /> . SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPAR f COPY <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> DEQ Nfielephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> ONtAeN,-LLg1E1'LTH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Wendy Digiorno BUSINESS/AGENCY: Pinnacle Environmental, Inc. <br /> ADDRESS: 2201 Francisco Drive#140-174 CITY/STATE/ZIP: EI Dorado Hills <br /> PHONE(1): 916-606-3330 PHONE(2): FACSIMILE: 877-766-6495 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> F-1CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Wendy Digiorno DATE 12/11/12 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 1. 1950 E.MinerStockton <br /> 2• ❑i�Unit2 <br /> 3. <br /> 4• p Unit 3 11� <br /> 5. <br /> 6• El Unit 4 <br /> 7. <br /> 8. <br /> ❑ Unit 5 <br /> 9. <br /> 10. <br /> ❑p unit s <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 FACILITYIVEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTETIREy�O <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) El FOOD FACILITY El DAIRY ����e, <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATERTREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPERTRUCKIYARDICHEMICAL TOILETS <br /> ®TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ®COMPLAINTIRESPONSE RECORDS ®OTHER(PLEASE.SPECIFY)ANY HAZMAT <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 -for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. 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 /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the apylicant. <br /> Future file reviews by the same applicant may require a $125 deposit prior to review. **"6t3ftEtfiAKEHITE#�+>L1" <br /> '4 ..r +` '' .«a.�."?"c+f x *wfLi �.,�aa,tyw,-'kn v.,k.�•<'�'..:.��-«u-a. �.,,--f..._ ?�„r .Y'�"i«w;�wJ.. �,K,,,,,; *i s;5��,_,..; ;�^ <br /> ... .�....,.�.�w,k..:»m.3 ...wc� �..w.> .,;d;;•...., ���. ,ter .. .� t..^xz�i .. _ x.. �.''.Kr;c.:• <br /> S <br /> �1]`��$COt`� "�Sf•oV��eC���f'= Q'1'��7�etSf_afrName: `'� -x``� �-c�� �`cic�`^.�c� ' � r*-, ,1� ,.`�n''`�a.`'�z � .�z,� �� <br /> Received Time Dec. 11. 201 10.02P ' No�j1837 9/4M2 <br />