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0 <br /> DATE RECEIVED EHD LOG NUMBER <br /> j/� SAN .IOAQUIN COUNTY <br /> vY ENVIRONMENTAL HEALTH DEPARTMENT <br /> fJ��}�� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> A%f,1 Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sigov.org/ehd <br /> 11� PUBLIC RECORDS RELEASE APPLICATION 666666 <br /> APPLICANT: Kristen Rini BUSINESS/AGENCY: JPM Environmental Inc. <br /> ADDRESS: 13400 Douglas Boulevard Suite 200 CITY/STATE/ZIP: lRoseville. CA 1 <br /> PHONE (1): (916) 945-3778 1 PHONE(2):_1(330) 221-3440 FACSIMILE: NA; rini@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-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Kristen Rini DATE 122/2014 <br /> Electronic Information: ❑List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City (2/unit t <br /> 1� 20 est Yosemite Ave Manteca I LAD <br /> �2. 16 est Yosemite Ave Manteca 3l 'I`y <br /> M/Unit2 J <br /> �1 <br /> 3' 1 <br /> 4 �/% o /Y , n.�, �; .7� 7 ^ Vit:J '� d xJ unit 3 <br /> i <br /> VU ta I <br /> s. <br /> ❑Unit <br /> 9. <br /> 10. <br /> ZI Unit 6 <br /> Specific Date Range of Information Requested: From 1900 to Present ' <br /> ENVIRONMENT T FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) N MEDICAL WASTE FACILITY (SOLID WASTE FACILITYNEHICLE <br /> yyy��R OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT TgWASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY DAIRY <br /> ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL 0 WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEIHAZARDOU$MATERIALS ❑MOTEL/HOTEL S PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> TIERED PERMITTED FACILITY KS[� POOLISPA N LAND USE APPLICATION SITES <br /> ❑TATrODIBODY PIERCING L&COMPLAINTIRESPONSE RECORDS OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIO S) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the ny records Of l <br /> box(es). At least one file type MUST be selected. Fax to 209 464-0138 or mail to the address indicated ab environmental <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 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 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$125 deposit prior to review. "*BOXED AREA-EHD USE ONLY'** <br /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> EHD 4M5 <br /> 4128114 <br />