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I�SJC EHD Pagel of 1 • 2015-02-11 17:59:45 (GMT) .DEM 4157072038 From: Ed MacDaniel <br /> 0 �"'�EW <br /> �^ <br /> I �auLritSrr�.. EHD LOG NUMBER <br /> fff SAN JOAQUIN COUNTY <br /> 100 <br /> FIB 1 7 2015 ENVIRONMENTAL HEALTH DEPARTMENT - <br /> 1868 East Hazelton Avenue, Stockton, CA 9520&6232 pq <br /> ENVIRONMENTALHEAL` ?lephone: (209) 468-3420 Fax: (209) 4640138 Web: www.sjgov.org/ehdo <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: EDWARD HACDANIEL BUSINESS/AGENCY: GRS GROUD _._.. <br /> ADDRESS: 3210 GOUGH ST #105 CITY/STATE2IP: SAN FRANCISCO, CA 94123 <br /> PHONE(1): 415-240-3205 PHONE (2): FACSIMILE:415-707-2036 <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to a a an appointment.dat fid Ume to review the requested records. <br /> ❑CHECK BOX TO EXPEDITE -DUES S 0 -EE(CASH OR C ECK NLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICA DATE 2/11/2015 <br /> Electronic Information: ❑ List Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street B Street Name City 13 Unit 1 <br /> 1. 500 SOUTH BECKMAN ROAD LODI �( <br /> 2. 1D25 INDUSTRIAL WAY LODI P(t r� 0&It2 <br /> 3. 851 LODI AVENUE EAST LODI <br /> 6. <br /> 6. 0nit 4 <br /> 7. <br /> 8• Unit 5 <br /> 9. r <br /> 10. J Unit 8 <br /> Spedne Data Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> nQ UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY Q SOLID WASTE FACILITYIVEHICLE <br /> Q OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT WASTE TIRE <br /> EI UNDERGROUND TANK(MONITORING/REMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> 0 ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ©WASTEWATER TREATMENT PLANT <br /> x❑HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTEL/HOTEL ❑PUMPER TRUCKfYARDICHEMK:AL TOILETS <br /> Q TIERED PERMITTED FACILITY ❑POOL/SPA ®LAND USE APPLICATION SITES <br /> ❑TATTOOIBWY PIERCING I]COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-6:00PM(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 bast 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.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 abow. <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. Anyfile not retumed in the same condition as released will be reorganized by EHD staff at the expense of the applicant- <br /> Future <br /> pplicantFuture file reviews by the same applicant may require a $130 deposit prior to review. """6OXE0 AREA-EHD USE ONLY*" <br /> ❑ Records provided by Staff-PPR Complete. Stan Name: <br /> CHD 49-06 -•�••-..--�-•.•,..mom 0MIi74 <br /> Received lime Fe ). 11. 2015 : HAM No, <br />