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07/09/2015 12 : 26: 15 PM —0400 FAXCOM ANYWHERE PAGE 3 OF 3 <br /> DAfT=UIVED - EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> JUL 092010 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> EWRONMENTALtfl& one: (209) 468-3420 Fax: (209) 464-0138 Web: www.sj'gov.org/ehd <br /> PERMITISERVICPS PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Corinne Kennah BUSINESS/AGENCY: PM Environmental,Inc. <br /> ADDRESS: 4401 Atlantic Avenue,Suite 220 CITY/STATE/ZIP: Long Beach,CA 90807 <br /> PHONE(1): 714-348-2743 PHONE(2): kennah@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 /> ❑ CHECK BOX TO EXPEDITE REQ ST-$13 0 <br /> F#EE(GRAS R CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 7/9/2015 <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city nit 1 <br /> 1. 50 West Turner Road Lodi <br /> 2, 90 West Turner Road Lodi Z ❑Unit 2 <br /> 3. 1 West Turner Road Lodi c� <br /> 4, 80 North Sacramento Street Lodi ❑Unit 3 '7 <br /> t / <br /> 11 <br /> w►�(Denit 44L I <br /> 7. <br /> 8• (���� ❑ Unit 5 <br /> 9. <br /> 10. <br /> ❑ unit s <br /> Specific Date Range of Information Requested: From All available to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITY/VEHICLE <br /> x❑OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> ❑x UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> x❑ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> x❑HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ❑x TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY 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 /> mojej cod k Com 19 1 50 <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> Received Time Jul. 9. 2015 9: 25AM No. 9121 08/01/14 <br />