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To: San Joaquin County EHD Page 2 of 2 2018-02-06 20:52:40(GMT) 17073245505 From: Edward MacDaniel <br /> RWc ElVEb `{ SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> 11"f ENVIRONMENTAL HEALTH DEPARTMENT <br /> FEB 0 6 20118 1-0 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 4640138 Web: www.sjgov.org/ehdHFJU1 5"S <br /> FEWIT tE8 PUBLIC RECORDS RELEASE APPLICATION Iq <br /> APPLICANT: EDWARD MACDANIEL BUSINESS/AGENCY: <br /> ADDRESS: 2360 MENDOCINO AVE, STE A2-145 CITY/STATE/ZIP: SANTA ROSA, CA 95403 <br /> PHONE(1): 707-812-3357 PHONE(2): FACSIMILE: 707-324-5505 <br /> EMAIL:MACDANIEL-EDWARD�?GMAIL .COM <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to a prig$a"ppointment date nd time to review the requested records. <br /> ❑CHECK BOX TO EXPEDITE QUES $ 0 EE(CASH OR C ECK NLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICA DATE _l <br /> Electronic Information: ❑ List Map-Descr1ption: <br /> FILE ADDRESS EHD USE ONLY In�atai�Kyrk <br /> Street# Str Na City <br /> 1, 1251- 255 SOUTH a^ s"-a . • F • LODI r y_{ fk{yfyy <br /> y. 800 KETTLEMAN RD SOUTH .M NODI W d - ,p�a2,i3y N1N�1 <br /> av <br /> 3. WP <br /> 4. <br /> 6. L L%PA-M T,4,h <br /> B. IA:j <br /> • 7. 6NrA- <br /> 8. yT <br /> 9. -2 @-1- O, 7 in u45c� <br /> 10. 1 Rf <br /> Spe Ific Date Range of Information Requested: From 1900 to 2/6/2018 - <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES �1 , /1 <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ®SOLID WASTE FACIUTYNEHICLE J- C'f'� <br /> ®OTHER CLEANUP SITE(NON-LOP) ®HOUSING ABATEMENT ®WASTE TIRE cGJ. . <br /> ®UNDERGROUND TANK(MONITORII�/REMOVAL) C]FOOD FACILITY ❑DAIRY �' <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATEk PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTEL/HOTEL ❑PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> ®TIERED PERMITTED FACILITY ❑POOL/SPA ❑LAND USE APPUCATION SITERLD <br /> ❑TATTOOMODY PIERCING Q COMPLAINTIRESPONSE RECORDS ®OTHER(PLEASE SPECIFY)M , ASBESTOS, <br /> T.>ian ASBESTOS, <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List uo to ten addresses in the space above. Select the types)of riles from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to (2091464-0138 or mail to the address indicated above. Address <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 noted above. <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$130 deposit prior to review. ""BOXED AREA-EHD USE ONLY— /�� <br /> ` Md T JJ NA i,n�a.,'�4 cif s �M �„�(.,','.�{.i(tv�, ' ✓v�1-' le A)v <br /> S ��(ON b-3 � gnu <br /> — '6 _ 00 <br /> .I <br /> ❑ Records provided by teff-PPR Complete. Gram Name: <br /> EHD 4X09d-1 4-1 06. �-�+• 71, aao,n. <br /> u.-1 p18• Rcvr/ u�r xJ. S ti�e kr SD'J Ke�}'fe/I'►1.s�1 Iyf�m',n y f Ore�'d !0� � �-rlq'I e%�J <br /> Rece i ved Time Feb. 6. 2018 12:46PM-No. 3010-- <br /> = per; (I � yfPgerj¢ i <br />