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SJG EH�' PsDe R of T 20'13-'+2-09 143:00:43(GMT) EE1N 4is7o72038 Prom: Ed Ms�Oeniel
<br /> DA7E11IWbd EHD LOG NUMBER
<br /> 3ti1N3WNOa(AN3 SAN .JOAQUIN COUNTY
<br /> HIGH ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 6 6 330 1868 East Hazelton Avenue, Stockton, CA 95205-6232
<br /> Telephone: (209)468-3420 Fax: (209)464-013B Web: www.sjgov.org/ehd
<br /> PUBLIC RECORDS RELEASE APPLICATION
<br /> APPLICANT: EDWARD MACDANIEL BUStNE551AGENCY; NOVA CONSULTING
<br /> ADDRESS: 3210 GOUGH ST #105 CITYISTATEIZIP: SAN FRANCISCO, CA 94123
<br /> PHONE(1): 415-240-3205 PHONE(2): FACSIMILE: 415-070-2038
<br /> TENTATIVE'APPOINTMENT DATE: Time:
<br /> (Please allow 10 business de date of application submittal-'Tentative only-must be confirmed) - -
<br /> ❑CHECK BOX TO EXPEDITE R EST 125 FEE{CASH OR CHE=CK Y) REQUEST PROCESSED IN 3 BUSINESS DAYS
<br /> SIGNATURE OF APPLICANT DATE 12/9/2013
<br /> Electronic Information: ❑List❑Map=Descdptlon:
<br /> FILE ADDRESS EHD USE ONLY
<br /> street Street Name City 1]Unit i
<br /> J. 1176 ROSEMARIE LANE STOCKTON
<br /> 2. T100-1299 MONACO COURT f( STOCKTON KTON - nit 2 f
<br /> 3, 4131 N. CROWN AVE STOCKTON
<br /> +4. 4444 N. PERSHING AVE '��U� STOCKTON Unita'
<br /> S. 4501 N. PERSHING AVE � 'UIP STOCKTON i (�/C./r24
<br /> S. 4445 N. PERSHING AVE 1,1A STOCKTON Unit
<br /> 7. 4555 N. PERSHING AVE 3b STOCKTON '
<br /> 13 p Unit 5
<br /> i . ©fit 6
<br /> Spec-ic Date Range of Information Requested: From to
<br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES
<br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 MEDICAL WASTE FACILITY ®SOLID WASTE FACILITYNEHECLE
<br /> ®OTHER CLEANUP SITE(NON-LOP) Q HCUSING ABATEMENT ®WATIRE
<br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY WASTEWATER
<br /> TREAT
<br /> ®ABOVEGROUND TANK ❑CHICKEN RANcW DOG KENNEL ®WASTEWATER WART)CH N PLANT
<br /> ®HAZARDOUS WASTEINAZARDOUS MATERIALS ❑MoTEL1HotEL ❑PUMPER TRUCKIYARDICHEfi11CAL TOILETS
<br /> ®TIERED PEFMITTFD FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES
<br /> ❑.TATMO1900Y PIERCING ®COMPLAMTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY)
<br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-6:00PM(EXCLUDING HoLiDAYS
<br /> 1. List ua to ten addresses in the space above. Select the type(a)of files from the list above by checking the appropriate
<br /> box(es). At least one file type MUST be selected. Fax to 12091464-0138 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{t p)
<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 maynot be immediately available for review. A newapplication may be
<br /> submitted when the file is available.
<br /> 4. Any file not retumed in the same condition as released will be reorganised by EHD staff at the expense of thea ticant
<br /> Future file reviews by the same applicant may require a$125 deposit prior to review.
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<br /> QHO 49-09
<br /> Received Time Dec. 9. 2013 11 :00AM No. 4709 --
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