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03/12/2015 3 :35 :53 PM —0400 FAXCOM ANYWHERE PAGE 2 OF 2 <br /> DATE RECEIVED 0 0 EHD LOG NUMBER <br /> SAN JOAQUIN GoUNTY <br /> REC"'EIVED ENVIRONMENTAL HEALTH 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/ohd <br /> ENVIRONMENTAL HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> PER 1113ERVIGE-6 <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): kennaha-pmenv.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 /> F1 CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 3/12/2015 <br /> Electronic Information: E] List 0 Map—Description: <br /> FILE ADDRESS /- EHD USE ONLY <br /> Street# Street Name C4 — E]Unit 1_ <br /> 1 1937 West Lane Stockton F <br /> "�N 2. C)'O 171 Unit 2 <br /> 2050 West Lane Stockton <br /> 3. 2051 West Lane Stockton -,4 <br /> 3 <br /> 4. 2053 West Lane Stockton 0 Ej'UnIt <br /> 6. 2055 West Lane Stockton v <br /> 4 <br /> 7. <br /> 8. 0 Unit 5 <br /> 9. <br /> 10. E]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 FACILITY[VEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> nx❑UNDERGROUND TANK(MONITORINGIREMOVAL) F1 FOOD FACILITY ❑DAIRY <br /> Fx_j ABOVEGROUND TANK E]CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> F1 HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL F-l PUMPER TRUCKIYARDICHEmicAL TOILETS <br /> TIERED PERMITTED FACILITY ❑POOLISPA F-]LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINTIRESPONSE RECORDS F-1 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 notifythe 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 /> RVIXYk 51016 1,, Cv & 84 �. l4tL elle 4.r 1 W7 QV 5-j L-i_ <br /> 10 Records provided by Staff-PPR Complete. Staff Name: <br /> Received Time Mar, 12. 2015 12:35PM No. 8307 08/01114 <br />