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10/26/2010 11:55 5308722'-- - PAGE 02/02 <br /> EMD LOG NUMBER <br /> SAty JoAQutN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 0" ; 2. 6 1011? 600 East Main St. Stockton, CA 95202-3029 <br /> � lephone: (209)468-3420 l=alx.'(209)464-0138 Web:www.sjgov.org/ehd <br /> ENVI�(.�(; ME N1 r t-�� <br /> FERMOMERVICE5 PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Pinnacle Environmental, Inc. BUSINESSIAGENCY: <br /> ADDRESS: PO Box 9966 CITYISTATEIZIP: Paradise, CA 95967 <br /> PHONE(1); 5 3 0 18 7 2-2 9 5 8 PHONE(2): FACSIMILE: 5 3 0 188 7 2-2 9 6 5 <br /> TENTATIVE"APPOINTMENT BATE: Time: <br /> (Pioase allow to 4u4ines4 days from date of application submittal-"Tentative only-must pe confirmed) <br /> ❑ CHEEK BOX TO EXPEDITE REQUEST- 115 FEE(CASH OR CHEEK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT �L� DATE —Z4710 <br /> Electronic Information: © List❑Map—Description; <br /> FILE ADDRESS EHD USE ONLY <br /> stmt# Street Nam* City <br /> 1. 3132 Farmington Rd., Stockton <br /> 2. - - -,_.-_..- ��_ w _._,t..�., ❑Unit 2 <br /> rs.3. <br /> 5, - - - <br /> Unit 4 <br /> 7. <br /> 8. <br /> p Unit 5 <br /> 9. <br /> 10. <br /> ❑unit. <br /> specific nate Range of information Requested: From _. to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 11NDERGROUNA TANK(UST)CLEANUP SITE(LOP) ❑ HOUsiNG ABATEMENT ❑ SOLID WASTE FACILITYIVEHICLE <br /> THER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WAWL TIRE <br /> ❑UNDERGRDUNO TANK(MONITORINWREMOVAL) ©DOG KENNEL, ❑DAIRY <br /> ❑HAZAR0ou5 WASTE GENERATOR ❑CHICKEN RANCH ❑WAMWAtElt TREATMENT PLANT <br /> ❑TIERED PERMITTEu FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL ToILETs <br /> ©TATTOOIBODY ArRcmo ❑POOLISPA []LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILA13LE FOR REVIEW: MONDAY-FRIDAY 8:00 AM»5:00pm(EXCLUDING HoLwAYS) <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. F o 9 4$4.0138 or mail to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications recelved 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 wUI be held for a maximum of five business days for review. Appointments <br /> should be sChedulad accordingly. <br /> 3. A fila that is actively being worked on by EHD staff may not be Immediately available for review. A now application may be <br /> submitted when the file is available. <br /> 4. Any fila not raturnod in the same condition as released will be reorganl2ed by EHD staff at the®xpensa of the appllcant. <br /> Future file ravlews by the same applicant may require a$145 deposit prior to review, <br /> S. It you need further assistance,please contact Diane Martinez,at(209)468-3425. <br /> EPfD SrUONLY <br /> EHO 48.06 <br /> 8!27!08 <br />