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To: San .L Johnson Page 2 of 2 <br />2010-09-30 22:19:32 (GMT) DEM 4157072038 From: Ed MacDaniel <br />DATE RECEIVED <br />�P SAN JOAQUIN COUNTY EHD LOG NUMBER <br />nEGFE I L-' ENVIRONMENTAL HEALTH DEPARTMENT <br />SEP 3 0 [010 600 East Main St. Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/5hd6 <br />ENPERMIly SE i HEALTH PUBLIC RECORDS RELEASE APPLICATION <br />PERM����11f10ES <br />APPLICANT: ED MACDANIEL <br />ADDRESS: 3210 GOUGH STREET#105 <br />BUSINESS/AGENCY: GRS GROUP <br />CITY/STATE/ZIP: SAN FRANCISCO, CA 94123 <br />PHONE (1): 415-240-3205 PHONE (2): FACSIMILE: 415-707-2038 <br />TEN TAT/VE*APPOINTMENT DAi= Time: <br />(Please allow 10 business days from date of applicatior-5K_ <br />itt 'I -*Tentative only- must be confirmed) <br />❑ CHECK BOX TO EXPEDITE REQUEST `yi" : """ ; ri c 4 t�JLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE 9/30/2010 <br />Electronic Information: ❑ List ❑ Map '.ascription: <br />FILE ADDRESS <br />Street # Street Name City <br />1. 5023 N. MARKET ST LINDEN <br />EHD USE ONLY <br />J-PhIe ❑ Unit 1 <br />„Pff <br />NOiNO nit 2 <br />2. <br />18978 <br />E. ST RT 26 <br />LINDEN <br />3. <br />18351 <br />E. MAIN ST <br />LINDEN <br />OZ �iyP <br />3 <br />�;5 <br />16401 <br />E. ST RT 26 <br />LINDENUnit <br />5. <br />18754 <br />EST RT 26 <br />LINDEN <br />, r Ot:�,NQ <br />• Unit 4 <br />19783 <br />ST RT 26 <br />LINDENO <br />❑ TATTOOIBODY PIERCING <br />4950 <br />BONHAM STREET <br />LINDENmok <br />No ('0 l/7 <br />©�o�y•Nf� E] Unit 5 <br />8 <br />WELLS (WATER & MONITORING) & SEPTIC <br />EL RANCHO ROCK AND SAND <br />LINDEN <br />' nit s <br />10. <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. Applications 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 />Specific Date Range of Information Requested: From <br />to <br />N.(4 <br />ENVIRONMENTAL <br />TANK (UST) CLEANUP SITE (LOP) <br />HEALTH DEPARTMENT <br />❑ HOUSING ABATEMENT <br />FILESUNDERGROUND ® SOLID WASTE FACILITYIVEHICLE <br />1�\�1 <br />-L, <br />, <br />® OTHER CLEANUP SITE (NON -LOP) <br />® UNDERGROUND TANK (MONITORIN(3IREMOVAL) <br />❑ FOOD FACILITY <br />❑DOG KENNEL <br />® WASTE TIRE��'/�1 <br />❑ DAIRY <br />® HAZARDOUS WASTE GENERATOR <br />❑ CHICKEN RANCH <br />® WASTEWATER TREATMENT PLANT <br />® TIERED PERMITTED FACILITY <br />❑ MOTELIHOTEL <br />❑ PUMPER TRUCKIYARDICHEMICAL TOILETS <br />❑ TATTOOIBODY PIERCING <br />❑ POOLISPA <br />❑ LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY <br />® OTHER (PLEASE SPECIFY) <br />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. Applications 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 />