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0 <br /> DATE RECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ��_ (/r`�^ I t G eSL <br /> ) 2; <br /> � � �'% � ENVIRONMENTAL HEALTH DEPARTMENT <br /> � � <br /> L L +��� 1868 East Hazelton Avenue,Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd ���rrA�� <br /> l PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: jKristen Rini BUSINESS/AGENCY: JPM Environmental Inc. <br /> ADDRESS: 13400 Douglas Boulevard Suite 200 CITY/STATE/ZIP: lRoseville. CA 95661 <br /> PHONE(1): 916 945-3778 PHONE(2):1(330) 221-3440 FACSIMILE: NA; rin1@pmenv.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 fII�NN,,3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANTKristen Rini DATElof22/2014 <br /> Electronic Information: ❑List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street# Street Name City p'Unit 1 - <br /> 1. 20 est Yosemite Ave Imanteca 71 <br /> 2. West Yosemite Ave Manteca 0 unit 2 <br /> 3. C� <br /> p� .� �,Ia7K� <br /> '7 , J YJ1 <br /> Unit3 /• <br /> id. _ <br /> /; �Unitb <br /> 7. i j G;.. 21 ,2C', .� " .qq __j9u��., <br /> 8. ❑unit s f <br /> 9. <br /> 10. <br /> 171 Unit 6 <br /> Specific Date Range of Information Requested: From 1900 to jPresent <br /> Rn ENVIRONMENT T FILES <br /> Ly UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Tq MEDICAL WASTE FACILITY SOLID WASTE FACILITYIYEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT JKWASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) E]FOOD FACILITY ['DAIRY <br /> ABOVEGROUND TANK E]CHICKEN RANCH/008 KENNEL 0 WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL Iq PUMPER TRUCKNAROICHEMICAL TOILETS <br /> TIERED PERMITTED FACILrrY N POOIJSPA [S LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING r&COMPLAINTIRESPONSE RECORDS N OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00pm(EXCLUDING HOLID S) <br /> 1. List up to ten addresses in the space above. Select the type(s)of riles from the list above by checking the ny record S Of <br /> box(es). At least one file type MUST be selected. Fax to(2091464-0138 or mail to the address indicated ab enVlTOnmental <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 atthe number no concern <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 Nies will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 4. Anyfile 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 /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48-08 4128114 <br />