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To:San Joaquin County EHD Page 2of2 2010-01-26 17:19:20(GMT) DEM 4157072038 From:Ed MacDaniel <br /> DATE RECEIVED EHD LOG NUMBE <br /> SAN JOAQUIN COUNTY r- <br /> 1-1 E��V, 10 ENVMONMENTAL HEALTH DEPARTKEW <br /> 600 E.Main Street,Stockton,CA 95202-3029 <br /> AN 2, 6 2010 Telephone-(209)468-3420 Fax:(209)464-0138 Web-www.sjgov.org/HFAI JU PUBLIC RECORDS RELEASE APPLICATION4 <br /> PERNW"UnITACDANIEL BUSINESS/AGENCY; GRS GROUP <br /> ADDRESS*. 3210 GOUGH STREET #105, SAN FRANCISCO, CA 94123 <br /> 415-240-3205 415-707-2038 <br /> PHONE(1): PHONE(2): _FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: 2/8/2010 Time, <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> 9 1 - <br /> -REQUEST WEE(CASH 0 <br /> El CHECK BOX TO EXPEDITE HECK O'NOO-REQUEST PROCESSED IN�13USINYSS DAYS <br /> SIGNATURE OF APPLICANT 17�' DATE /Zo <br /> —----------------- !�/0 <br /> ( <br /> Electronic Information: 0 List E]Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City El Unit I <br /> 1875 N. IMACARThUR DRIVE TRACY <br /> 2. 502 E. GRANT LINE RD TRACY Unit 2 <br /> 3. <br /> 4. Unit 3 <br /> ........... <br /> 5. <br /> 6. UnIt4 <br /> 7. <br /> Unit 6 <br /> 8. <br /> 9, rIOUnit 6 <br /> 10. <br /> ALL, <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 21 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 11 SOLID WASTE FACILITYIVEHICLE <br /> EN OTHER CLEANUP SITE(NON-LOP) E3 FOOD FACILITY WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL)C)( 0 DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR q.\ 0 CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> 12fTIfRED PERMITTED FACILITY-6- 13 MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEm TOILETS <br /> 0 TATTOOIBODY PIERCING 0 POOLISPA C3 LAND USE APPLICATION SrrFs <br /> 0 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) SEPTIC, WELLS <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:D0 AM-5:00PM - EXCLUDING HOLIDAYS. <br /> --z uo to tan addresses In the soace above. Select the type(s)of flies from the list above by checking the appropriate <br /> noxtes). At least one file type MUST be selected. Fax to 12021 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 flies exist. An appointment for review will be confirmed approximately ten(lipj <br /> days after receipt of application. The flies will be held for a maximum of five business days for review. Appointment <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 now 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$96.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 49-M 9/13/2006 web <br />