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D -% r EHD LOG NUMBER <br /> RECEIVE SAN JOAQUIN COUNTY <br /> ® El'40t6NMENTAL HEALTH DEPARTML�.Z7 <br /> 11T2 9 201(lr 600 East Main St. Stockton, CA 95202-3029 , Z.4 <br /> elephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/e <br /> 15 P <br /> ENVIRONMENTALHEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> PERMIT1Rr=Rwn�91 <br /> I Fp= <br /> APPLICANT: ED MACDANIEL BUSINESS/AGENCY: PARTNER ENGINEERING <br /> ADDRESS: 3210 GOUGH STREET#105 CITY/STATE/ZIP: SAN FRANCISCO, CA 94123 <br /> PHONE (1): 415-240-3205 PHONE (2):_ FACSIMILE:415-707-2038 <br /> TENTATIVE*APPOINTMENT DAT E. _ _ �))_ Time: <br /> (Please allow 10 business days from date of application �Oh ittai-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$1; i A'H OR ,F ECK,01 LY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT / r DATE 10/27/2010 <br /> Electronic Information: ❑ List ❑ Map Description: <br /> FILE ADDRESS END USE ONLY <br /> Street# — Street Name City <br /> El Unit 1 <br /> 1. 8035 AND MARINERS DR. STOCKTON <br /> 2. 3555 WEST HAMMER LANE STOCKTON <br /> - — nit 2 f <br /> 3. �� — go <br /> — <br /> 4. <br /> --- nit 3 <br /> 5. <br /> 6. <br /> 7. -- -- -- nit 4 <br /> 8. <br /> ❑Unit 5 <br /> 9. <br /> 10. <br /> nit 6 <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 FACILITY ®WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑DAIRY <br /> ®HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH <br /> ® ®WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY <br /> ❑MOTEL/HOTEL ❑PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> ❑TATTOO/BODY 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 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-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 46-06 <br /> 07t29H n <br />