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)J.ttN�13d EHD LOG NUMBER s{ <br /> Y DATE0�yl(•13iNN01�InN3 <br /> SAN .IOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazefton Avenue, Stockton, CA 95205-6232 1 _ ` <br /> cl�Z ® 3 Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgOv.Orglehd �H' <br /> C]'31\' �UPUBLIC RECORDS RELEASE APPLICATION v <br /> APPLICANT: <br /> EDWARD MACDANIEL BUSINESSIAGENCY: NOVA CONSULTING <br /> ADDRESS: 3210 GOUGH ST 4105 CITYISTATEIZIP: SAN FRANCISCO, CA 94123 <br /> PHONE(1): 415-240-32D5 PHONE(2): FACSIMILE: 415-070-2038 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (pleaaeallowi0business da date of application submlttal-'rentaiive only-must be confirmed) <br /> []CHECK BOX TO EXPEDITE REf3C1E5T 125 FEE(CASH OR CHECK Y) REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT G� DATE 12/9/2013 <br /> Electronic Information: ❑ List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street A Street Name City ❑Unit t <br /> o <br /> ROSEMARIE LANE � <br /> TOCKTON h1u uo, `A f <br /> �j .-2, 1100-1299 MONACO COURT STOCKTON A)0 tUl �iA0,unit 2 <br /> 1. 1176 <br /> 3. 4131 N. CROWN AVE STOCKTON r N <br /> 4. 4444 N. PERSHING AVE STOCKTONUnit3- <br /> 5 4501N. PERSHING AVE STOCKTON j <br /> A <br /> VI 4445 N. PERSHING AVE STOCKTON , '�cr- 4WU �ni y A0 <br /> U <br /> 7. 4555 N. PERSHING AVE STOCKTON MM <br /> � 5 <br /> 9. <br /> 10. 1' O flit 6 <br /> Specific Data Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES SOLID WASTE FACILITY E I <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) E]MEDICALMEDICAL WASTE FACILITY ® TIRE t + 'r� UA(�� <br /> ®OTHER CLEANUP SITE(NON-LOP) El HOUSING ABATEMENT ® Z <br /> '� El®UNDERGROUND TANK(MONITORINGIREMOYAL) FOOD FACILITY ❑DAIRY <br /> ®ABOVEGROUND TANK t>�_ ❑CHICKEN RANCW DOG KENNEL ©WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS 67L ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ®TIERED PERMITTED FAdLffY� ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TIERED PERMITTED <br /> I3ODY PIERCING ®COMpLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW' MONDAY-FRIDAY 6:00 AM-9:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List ue to ten addresses in the space above. Select the types)of files from the list above by checking the appropriate <br /> box(ea). At least one file type MUST be selected. F to 1209)464-0136 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 ap iieant"I <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. , <br /> PA F sY Y' , % a r Y- �. ° t •^ r s z � . <br /> � erMt <br /> ENOw.oe 1t V4gS , �B V60) h1� U51 , d 4UyS l h P O�/T <br /> 149 667 �(Tv,9 _ WvU&-1(00L otWW i(ooz. KB <br /> Received Time Dec. 9. 2f111 :00�M No. 4709 ' -- <br />