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To: SanJoaquin County EHD Page 2 of 2 2018-02-06 20:52:40(GMT) 17073245505 From: Edward MacDaniel <br /> REC <br /> B ,D �tSAN <br /> -00 o Q v- COUNTY UIN A C EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> FEB 0 6 (11 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> kMP4QMW.W1AL HrA131H <br /> Telephone: (209) 468-3420 Fax: (209) 4640138 Web: www,sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: EDWARD MACDANIELi BUSINESSIAGENCY' <br /> ADDRESS: 2360 MENDOCINO AVE, STE A2-145 CITYISTATEfZIP: SANTA ROSA, CA 95403 <br /> PHONE (1): VC7-812-335'/ PHONE (2): FACSIMILE: 707--324-5505 <br /> EMA T L:�7ACf[)AN I E L.ED WARi @GMAI L .COM <br /> Please allow 10 business days from date of application submittal for ttte records to be available. <br /> Staff will contact you to ig an ppointment dateand time to review the requested records. <br /> ❑CHECK BOX TO EXPECOITE 0 EE(CASH OR C ECK NLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPUCA DATE r <br /> Electronic Information: ❑ List Map—Description: <br /> FILE ADDRESS EHD USE:ONLY <br /> Street rx Str Na e City <br /> 1251- 255 SOUTH , r,�n T RD <br /> 1, u � LODI 7%�i h>kt'j,tii <br /> F2- 800 KETTLEMAN RU SOUTH ��L�,ODI <br /> 3. r <br /> 4. <br /> s. ? f t� Lttf'll^ <br /> `7 <br /> -S I-1:✓ <br /> 7• <br /> 1 b- <br /> Specific Date Range of Information Requested: From I I 90D 2/612018 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FI <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Q MEDICAL WASTE FACILITY ❑SOLID WASTE FACILrTYNEt4icLE <br /> OTHER CLEANUP$ITE(NON-LOP) Q HOUSING ABATEMENT Q WASTE TIRE <br /> E]UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> X❑ABOVEGROUNI]TANK ❑CHICKEN RANCH!DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> Q HAZARDOUS WASTEIIIAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKNARD1CiiEomcAL TOILETS <br /> Q TIERED PERMITTED FACILITY ❑POOLISPA ❑LOD USE APPLICATION SITES <br /> ❑TATTOOWDY PIERCING ©COMPLAlNT1RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY 10LD. ASBESTOS, <br /> LEAD ?A INT <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY$:00 AM-6:0pPM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the types)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(21191464-0138 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 retuned 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 U E ONLY— <br /> c'IA ' <br /> Cil ICl��WE'C �,nl � i� L•'n 2—i�]�'l <br /> ❑ Records pro- ded by Staff-PPR Complete. staff Name_ t7lC� <br /> EHD 48-08 OSA34!'11 <br /> Received Time Feb, 6. 2018 12 .46PM—No, <br />