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SJC EHD Page 1 of 1 2015-02-11 17:59:45 (GMT) DEM 4157072038 From: Ed MacDaniel <br />■ <br />py"k <br />■Y <br />■ EHD LOG NUMBER <br />■N SAN JOAQUIN COUNTY <br />' FEB 11 2015 ENVIRONMENTAL HEALTH DEPARTMENT 0 Oq <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />ENVIRONMENTAL HEALS?lephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: EDWARD MA.CDANIEL <br />ADDRESS: 3210 GOUGH ST #105 <br />PHONE (1): 415-240-3205 <br />PHONE (2): <br />BUSINESS/AGENCY: GRS GROUP <br />CITY/STATEIZIP: SAN FRANCISCO, CA 94123 <br />FACSIMILE: 415-707-2038 <br />Please allow 10 business days from date of application submittal for the records to be available. <br />Staff will contact you to a g an appointment.dat nd time to review the requested records. <br />El CHECK BOX TO EXPEDITE QUES -$ 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 <br />EHD USE ONLY <br />---� . <br />Street # <br />Street Name <br />City <br />1 <br />500 <br />SOUTH BECKMAN ROAD <br />LODI <br />�p an XL/j <br />—V ' ❑ Unit 2 <br />2. <br />1025 <br />INDUSTRIAL WAY <br />LODI <br />3. <br />851 <br />LODI AVENUE EAST <br />LODI <br />Hni�i (j <br />Unit 3 <br />4. <br />6. <br />Unit d <br />6. <br />7.CIO <br />a✓i�i (sw..�l, �l� s �� p. Unit s <br />8 <br />9. <br />r <br />El Unit 8 <br />Speclflc Date Range of Information Requested: From to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />© UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ MEDICAL WASTE FACILITY X❑ SOLID WASTE FACILITYNEHICLE <br />x❑ OTHER CLEANUP SITE (NON -LOP) El HOUSING ABATEMENT El WASTE TIRE <br />X❑ UNDERGROUND TANK (MONITORING/REMOVAL) ❑ FOOD FACILITY ❑ DAIRY <br />Q ABOVEGROUND TANK ❑ CHICKEN RANCH/ DOG KENNEL Q WASTEWATER TREATMENT PLANT <br />Q HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑ MOTEUHOTEL ❑ PUMPER TRUCK/YARDICHEMNCAL TOILETS <br />❑ <br />� TIERED PERMITTED FACILITY ❑ POOLISPA Q LAND USE APPLICATION SITES <br />❑ TATTOOIBODY PIERCING ❑ COMPLAINT/RESPONSE 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 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 retumed 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 USE ONLY— <br />L J u?6 ' "i c „ -) 3 31 K 0 colt i-'K,�- -�, c I: Oe- Q� •l . <br />iv,za 714Z i "r t�n4V, u . 1 nJi!(C, Q� I (Nl (49/' Soo f ti<yni, 12A XrmQ.- —ftu\ L(6_, <br />❑ Records provided by Staff -PPR Complete. Staff Name: <br />EHD 48-08 OaMI/14 <br />-- Received Time Feb. 11. 2015 10:00W-No.8096— <br />