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To:San Joaquin County EHD Page 2 of 2 2010-01-26 17:19:20(GMT) DEM 4157072038 From:Ed MacDaniel <br /> DATE RECEIVED EHD IDG Ni1iNBE <br /> SAN JOAQUIN COUNTY <br /> r�E 20 ENVIRONMENTAL HEALTH DE, KEWT <br /> 644 E.Marl Street, Stockton,CA 95242-3029 I <br /> s6 Z010 Telephone: 209 468-3420 Fax: 209 464-0138 Web: Www.sjgo'v.org/ + <br /> �s . T HEATH PUBLIC RECORDS RELEASE APPLICATION <br /> N GRS GROUP <br /> BWNESSrAGENCY: <br /> s <br /> ADDRESS..3210 GOUGH STREET #105, SAN FRANCISCO, CA 94123 <br /> 415-240-3205 415-707-2038 <br /> PHONE(1): PHONE(2): FACSIMILE: <br /> TENTATIVE"APPOINTMENT DATE: 2/8/2010 Time. <br /> (Please allow to business(laysfrom date of application submittal-'Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REgUEST9 } EE(CASH OR CHECK Nt,• )-REQUEST PROCESSED IN BUSIN SS DAYS <br /> SIGNA'T'URE OF APPLICANT DATE / z' l t <br /> Electronic Information: ❑List❑Map-DeScriptlon. <br /> FILE ADDRESS -EHD USE ONLY ` <br /> F__ <br /> Street Name City LJ Unit I <br /> 1875' N. ,MACARTHUR DR5V _502 E. GRANT LINE RD TRACY LU'n" <br /> 4. Unit 3 <br /> S. <br /> 7, <br /> 9' Unit 8 , <br /> 10. <br /> ALL <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> i <br /> }UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 17 HOUSING ABATEMENT E7 SOLID WASTE FACILITYIVEHICLE <br /> IN OTHER CLEANUP SrfE(NON-LOP) -' a FOOD FACILITY Ih WASTE TIRE I <br /> UNDERGROUND TANK(M0Nrr0RING/REMOVAL) 0 DOG KENNEL M DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 15 WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY t7 MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEM TOILETS i <br /> 0 TATTOOMODY PIERCING C7 POOLISPA R LAND USE APPLICATION SITES <br /> d MEDICAL WASTE FACILITY E7 OTHER(PLEASE SPECIFY)-SEPTIC, WELLS <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW MONDAY-FRIDAY$:AD AM-S.0OPM -:EXCLUDING HOLIDAYS. J <br /> ..-t uu to ten addresses In the space above. Select the type(s)of tiles from the list above by checking the appropriate <br /> uoxtes). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated alcove. Address <br /> ranges will not be accepted-for additional assistance with file addresses;contact-the EH©.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(1b1 <br /> days after receipt of application. The.files will.be held for a maximum of five business days for review. Appo(numen% <br /> should be.scheduled accordingly. <br /> 3. A file that is.activety 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 role ased will be reorganized by E14D staff at the.exxPense of the applicant. II <br /> Future file reviews by the same applicant may require a$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD4PW 915312006 web --- �I <br /> I� <br /> I <br /> I' <br /> . ii <br />