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DATE RECEIVED EHD LOG NUMBER <br /> SAN 4lOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT jp <br /> ,. t�y" 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> rt%X1 Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sigov.org/ehd� <br /> l� PUBLIC RECORDS RELEASE APPLICATION /III <br /> APPLICANT: lKristen Rini BUSINESS/AGENCY: JPM Environmentaf Inc. <br /> ADDRESS: 13400 Douglas Boulevard Suite 200 CITY/STATEIZIP: lRoseville. CA 95661 <br /> PHONE(1): 916 945-3778 PHONE(2):1(330) 221-3440 1 FACSIMILE: NA; rini@pmenv.com <br /> Please allow 14 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 IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Kristen Rini DATE /22/2014 <br /> Electronic Information: ❑List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city [2/unit 1 <br /> r1.- 20 est Yosemite Ave Manteca I Lin2. 16 est Yosemite Ave Manteca 3(_1{Z'S <br /> UnK2 <br /> 3. <br /> Unita <br /> Unit 4 <br /> z. 1 021, o ,a •2zl �`/5�•, = �7 ,o <br /> a. <br /> ❑Unit 5 <br /> 9. It <br /> 10. <br /> Unit fi <br /> Specific Date Range of Information Requested: From1900 to Present <br /> �n ENVIRONMENTA T FILES <br /> Ly UNDERGROUND TANK(UST)CLEANUP SITE(LOP) e MEDICAL WASTE FACILITY c�SOLID WASTE FACILrrYIYEHICLE <br /> OTHER CLEANUP SITE(NON•LOP) E] 1 <br /> HOUSING AeATEMENT LyWASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY QDAIRY <br /> ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL IS WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEIHAZARDOUs MATERIALS ❑MOTELIHOTEL jq PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> TIERED PERMITTED FACILITY is POOLISPA [51 LAND USE APPLICATION SITES <br /> ❑TATTOOIBoOY PIERCING aCOMPLAINTIRESPONSE 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 un to ten addresses in the space above. Select the type(s)of files from the list above by checking the ny records Of <br /> box(es). At least one file type MUST be selected. Fax to 209 464.0133 or mail to the address indicated ab <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. enVlrOnmental <br /> 2. For assistance in identifying the nature and content of EHD records,please contact EHD at the 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 applicatlon. The flies 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$125 deposit prior to review. "'BOXED AREA-EHD USE ONLY" <br /> ❑ Records provided by Staff-PPR Complete.Staff Name: <br /> EHe 48-06 412914 <br />