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OEM DA VBEHD LOG NUMBER <br /> �Y..mv f�a$+� SAN�OAQUIN COUNTY <br /> ® GU� �! ENVIRONMENTAL HEALTH DEPARTMENT <br /> AUGJGU 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)464-03138 Wets:www.$)gov.org/ehd <br /> ENVIRONMENTALHEALTHPUBLIC RECORDS RELEASE APPLICATION <br /> .T PFRAAl71CGb1f+rrrA <br /> Woq70 <br /> APPLICANT: EDWARD MACDANIEL BUSINESS/AGENCY: NOVA CONSULTING GROUP <br /> ADDRESS: 2360 MENDOCINO AVE, STE A2-145 CITY/STATE/ZIP: SANTA ROSA, CA 95403 <br /> PHONE(1): 707-812-3357 _ PHONE(2): .-..-FAX OR E-MAIL: macdaniel.edward@gmail.com <br /> Pleaseailow 10 business days from date of application submittal for the records to'be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> Q CHECK BOX TO EXPEDt . R UEST 139 FEE{CASH ECK ONLY) REQUEST PROCESSED IN 3 BUSINFSSDAY.S <br /> SIGNATURE OF APPLICANT DATE 8/12/2017 <br /> 1. List up to ten addresses int pac b . Select the type(sM files from the list beiow 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.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 $139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br /> Electronic Information: F1 List [] Map- Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS EHD USE ONLY <br /> FILES <br /> UNDUI4::it4WWo TkNK(UST) 'Street#f Street Name city -- <br /> Q6ANuP SITE(LOP) ❑C:•cu.l_- <br /> ®OTHrR CL&MIP SITE{NON-LOP) Y1139 VANDERBILT CIRCLE MANTECA <br /> HAzM00US WASTE <br /> TEAM PER61rn-ED FACILITY 400-56 IPUSTRIAL PERK DRIVE MANTECA <br /> AEOVEGROUND TANK <br /> UST (MONITOR:M. IF7,WOVAL) ❑F,d: <br /> I�HA2ARI7VjUS WTERIALS <br /> -�Q SPILURELEASE RESPONSE <br /> I] <br /> SOLID\W .M <br /> ASTE FAITY!VEH CLE 4 Vadl-7 <br /> [_1FOOD FAr_IUTY <br /> ®POOL/SPA. [f.K��+fF'�� <br /> DAIRY � <br /> U%ND USE APPOZ;AT ON S]TCs C <br /> SEPT:✓;PUMPER TRUCK I �•y J I f/\ , i; I` ^ } r/1 r A f_ ❑HOLE NG <br /> V ,-' /L, f 1( \I lil. `f.i(J� <br /> YARD lCHEMICAL T4LETS W J � --}� <br /> I J-._ a <br /> n WASTEWATERTREATmENTPLANT CUPA <br /> ❑HOUSING ABATEMENT T ` Hk/R / <br /> E]MOTEOHOTEL ' -,may" I Inn <br /> CH.CKEN RlwH f Dos KENNEL I\�. �"1(� e lCo tO CUPA-UST <br /> MCO zAL VV sre FACILITY "-`� 1 &'�y' <br /> rATTC?OIBCUY PIERCING - <br /> `�0 WAETE TIRE n1j , - <br /> ®COMPLAINT / 9 coqq <br /> ®OTHu.(PLLhSC SprcrY'I: I/ �. CI a Dul•r-r�c <br /> WELLS, SEPTIC ,� r �q �r'i dr AO) <br /> —BOxEDAREA-EHD USE ONLY'- <br /> / L A YM t,,- 1 fjkn I d `t UAV,a24 or 1� l <br /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> EHD 4s-06 <br /> Received Time Arg, 24. 201 / 11 : �i�l v"I fVo. X154 <br />