Laserfiche WebLink
To:San i=Johnson Page 2 of 2 - 2010-09-30 22:19:32(GMT) n DEM 4157072038 From:Ed MacDaniel <br /> D DATED`RECEIVED SAN .IOAQUiN COUNTY EHD LOG NUMBER <br /> ECL !JJ'' �•---� <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> bEP 3 [L1 600 East Main St. Stockton, CA 95202-3029 <br /> HEALTH Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.orgl hd <br /> �Nl]If��GVI�II_•l� l PUBLIC RECORDS RELEASE APPLICATION <br /> IRAPPLICANT: ED MACDANIEL BUSINESSIAGENCY:GRS GROUP <br /> ADDRESS: 3210 GOUGH STREET#105 CITYISTATEIZIP:SAN FRANCISCO,CA 94123 <br /> PHONE (1): 415-240-3205 PHONE(2): _ _ _ FACSIMILE:415-707-2038 <br /> TEN TATIVE"APPOINTMENT DA'_: _ �_ Time: <br /> (Please allow 10 business days from date <br /> 0; ca ap icutitirr�-�K <br /> mitt l-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE R EQUEST-«1"� =';r+Gk ^r SLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 913012010 <br /> Electronic Information: ❑ List❑ Map "lescription: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 1. 5023 N.MARKET ST LINDEN <br /> 2. 18978 E.ST RT 26 LINDEN <br /> 6ft"2 <br /> 3. 18351 E.MAIN ST LINDEN �O <br /> 4. 16401 E.ST RT 26-•- LINDEN Nd6 gq_oSLtir z o� -� . Unit 3 <br /> 5. 18754 EST RT 26 1/ LINDEN J!¢ 94.6 TSA -ot 7 f <br /> 6. 19783 ST RT 26 LINDEN <it <br /> 7. 4950 BONHAM STREET LINDEN <br /> $ EL RANCHO ROCK AND SAND LINDEN <br /> ADDRESS? p unit 5 <br /> 9. <br /> 10. <br /> nit S <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ®SOLID WASTE FACILITYIVEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACTLITY ®WASTE TIRE <br /> ® <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> ®HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ®WASTEWATER TREATMENT PLANT <br /> ®TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMiCAL TOILETS <br /> ❑TATrOOIBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ®OTHER(PLEASE SPECIFY) WELLS(WATER&MONITORING)&SEPTIC <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List u to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate i. <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-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 applicant. <br /> Future file reviews by the same applicant may require a$122 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 49.06 <br /> 07!29110 <br />