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To: San Joaquin County EHD Page 2 of 2 2018-02-06 20:52:40 (GMT) 17073245505 From: Edward MacDaniel <br /> s rIL.. c EIV E D SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> FEB 0 6 201: 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)4640138 Web: www.sjgov.orglehd <br /> ftmAL <br /> " rS�I� s PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: EDWARD MACDANIEL BUSINESS/AGENCY: <br /> ADDRESS: 2360 MENDOCINO AVE, STE A2-145CITY/STATE/ZIP: SANTA ROSA, CA 95403 <br /> PHONE(1): '107-81'2-335'] PHONE (2): FACSIMILE: 707-324-5505 <br /> EMAIL:_\4ACDANIEL.EDWARL`'R AIL . COM <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to a a I�g�an ppointment dat fid time to review the requested records. <br /> ❑CHECK BOX TO EXPEDITE DUES $ D EE(CASH OR C ECK NLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS Z/ <br /> SIGNATURE OF APPLiCAl DATE <br /> Electronic Information: ❑ List Map—Description: <br /> FILE ADDRESS EHD USE ONLY W1 tT- ��IF <br /> Street# Street Name mn City Ilb 1 GD Er <br /> 1. 12SI- 255 SOUTH $ LH4Q RD Ul LODI 7;iY 11{y,t <br /> y 800 KETTLEMAN RD SOUTH LODI pl� <br /> --- — �^ <br /> Ott/ <br /> 3. <br /> 4. <br /> 6. LLtFA- T,14, <br /> S. lig <br /> • 7• <br /> 8. 5t <br /> 9• t-/ayCe- <br /> 10. <br /> Spedfic Data Range of Information Requested: From I 1900 to 216/2518 - <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY SOLID WASTE FACILDYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ®HOUSING ABATEMENT ®WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORING/REMOVAL( ❑FOOD FACILITY ❑DAIRY <br /> Ej ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEMAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ®TIERED PERMITTED FAGUTY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATT00160DY PIERCING ©COMPLAINTIRESPONSE RECORDS OTHER(PLEASE SPECIFY)MOLD, ASBESTOS, <br /> LEn PAINT <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 tate 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 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 $130 deposit prior to review. "'BOXED AREA-EHD USE ONLY" <br /> ..2-C7'1@'--G.�Ilr ll 1 rMF� P n( �Q i✓�(:x,.�eJ, Ot . 0 Jay v�-{-t(l�. ✓v.'�_ <br /> • <br /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> EHD 6 OeN1H� <br /> Received Tlme Feb. 6, 2018 12: 46PM No, <br />