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To:San.!-Johnson Page 2 of 2 2010-09-30 22:19:32(GMT) DEM 4157072038 From:Ed MacDaniel <br /> DATE RECEIVED END LOG NUMBER <br /> MD EER, <br /> JJjj''E SAN .10AQUIN COUNTY �--- <br /> u V' 0 ENVIRONMENTAL HEALTH DEPARTMENT <br /> SEP 3 0 LL10 600 East Main St. Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/5hd6 <br /> E����e i�� jSFRV1QES PUBLIC RECORDS RELEASE APPLICATION <br /> P ���,-��rCtiiCES <br /> APPLICANT: ED MACDANIEL BUSINESS/AGENCY:GRS GROUP <br /> ADDRESS: 3210 GOUGH STREET#105 CITY/STATE/ZIP:SAN FRANCISCO,CA 94123 <br /> PHONE(1): 415-240-3205 PHONE(2): _ _ FACSIMILE:415-707-2038 <br /> TEN TAT/VE"APPOINTMENT DA i L _ _ _� Time: <br /> (Please allow 10 business days from date of application, I-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-w :;'..= riREQUEST PROCESSED IN 313USlNESS DAYS <br /> SIGNATURE OF APPLICANT _ DATE 9/3012010 <br /> Electronic Information: ❑ List❑ Map ;:')ascription: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑Unit 1 <br /> 1. 5023 N.MARKET ST LINDEN 51;1) <br /> 2. 18978 E.ST RT 26 LINDEN 350 g. nit 2 <br /> 3. 18351 E.MAIN ST LINDEN B i <br /> 4. 16401 E.ST RT 26 LINDEN unit 3 O J1 <br /> 5. 18754 E ST RT 26 LINDEN <br /> 6. 19783 ST RT 26 LINDEN joeoU.R04 <br /> 7. 4950 BONHAM STREET LINDEN <br /> 8 EL RANCHO ROCK AND SAND LINDEN <br /> ADDRESS? ❑ Unit 5 <br /> 9. <br /> 10. nit 6 <br /> Specific Date Range of information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ©SOLID WASTE FACILITYIVEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ®WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> ®HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ®WASTEWATER TREATMENT PLANT <br /> ®TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <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-5:00PM(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 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 /> EHD USE ONLY <br /> EHD 4806 <br /> 07/29/10 <br />