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A <br /> To:San.L Johnson Page 2 of 2 2010-09-30 22:19:32(GMT) DEM 4157072038 From:Ed MacDaniel <br /> DATE RECEIVED �-�—"" EHD LOG NUMBER <br /> SAN .10AQUIN COUNTY <br /> MENED DM ENVIRONMENTAL HEALTH DEPARTMENT <br /> 5EP 3 0 4010 600 East Main St. Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/5kd - 6. <br /> ENERMP <br /> I►v S ER`JfCES t HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> �;����« <br /> APPLICANT: ED MACDANIEL BUSINESS/AGENCY:GRS GROUP <br /> ADDRESS: 3210 GOUGH STREET#105 CITY/STATE/ZIP:-SAN FRANCISCO,CA 94123 <br /> PHONE (1): 415-2403205 PHONE(2): FACSIMILE:415-707-2038 <br /> TENTATIVE*APPOINTMENT DAL _ _ �_ Time: <br /> (Please allow 10 business days from data of applicaticr :.t mitt l-'Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST- "' -^::i I''i t t=CKytJAJLY}-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT / y DATE 9/30/2010 <br /> Electronic Information: ❑ List ❑ Map a cript*n: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City -144h P <br /> �/,r ❑ Unit 1 <br /> 1. 5023 N.MARKET ST LINDEN 2. 18978 E.ST RT 26 LINDEN49- nit <br /> 3. 18351 E.MAIN ST LINDEN 0 <br /> Y1 <br /> 16401 E.ST RT 26 LINDENUnit 3 <br /> . 06 IPCO/ <br /> 5. 18754 E ST RT 26 LINDEN r r 06Gj�����;,7 Iy <br /> 19783 ST RT 26 LINDEN12 410 • Unit 4 <br /> 4950 BONHAM STREET LINDEN C) 7 N000% <br /> 8 EL RANCHO ROCK AND SAND LINDEN No d� ©�o�yP• /� <br /> ADDRESS? 1 ❑ Unit 5 <br /> 10. <br /> nit 6 <br /> Specific Date Range of Information Requested: From to <br /> 1<JO` ENVIRONMENTAL HEALTH DEPARTMENT FILES r <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ®SOLID WASTE FACILfrY1VEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ®WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY V r(l 1 <br /> ®HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ®WASTEWATER TREATMENT PLANT <br /> ®TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SfTES <br /> ❑ MEDICAL WASTE FACILITY ®OTHER(PLEASE SPECIFY) WELLS(WATER&MONITORING)&SEPTIC <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(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-for additional assistance with file addresses, contact the EHD. Applicafions received after <br /> 3:00 pm will be processed the next business day. <br /> 2. 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 /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file is available. <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$122 deposit prior to review. <br /> EHD USE ONLY ^� <br /> W O 1 3 • <br /> fbou�s0 u m s q mu AV— <br /> F,73m <br /> EHD 48.06 07!29110 <br />