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<br /> • • - - � 20'73-'12-09'18:SS:43 CGMT) -SEM 4'15707038 From:EdM �en7ely
<br /> IUSJG EHD Pege 1 01'1 l
<br /> DATEffi��$IllWb3d
<br /> EHD LOG NUMBER
<br /> f1 N]�d3N�tl1N3WNOtit�N3 SAN JOAQUIN COUNTY
<br /> ❑
<br /> ❑ ENVIRONMENTAL HEALTH DEPARTMENT ` 4
<br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232
<br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.$)gov.org/ehd
<br /> Dam!30-38PUBLIC RECORDS RELEASE APPLICATION
<br /> APPLICANT:
<br /> EDWARD MACDANIEL BUSINESSIAGENCY: NOVA CONSULTING
<br /> ADDRESS: . 3210 GOUGH ST #105 CITYISTATEIZIP: SAN FRANCISCO, CA 94123
<br /> PHONE(1): 415-240-3205 PHONE(2):
<br /> FACSIMILE: 415-070-2038
<br /> TENTATIVE'APPOINTMENT DATE: Time:
<br /> (Please allow 10 business da date of application submittal-'Tentative only-must be confirmed)
<br /> ❑CHECK BOX TO EXPEDITER EST 125 FEE(CASH OR!HECK Y) REQUEST PROCESSED IN 3 BUSINESS DAYS
<br /> SIGNATURE OF APPLICANT DATE 12/9/2013
<br /> Electronic Information: ❑List❑Map—Description:
<br /> FILE ADDRESS EHD USE ONLY
<br /> RRSE
<br /> t 0 Street Name City ❑Unit 1
<br /> ROSEMARIE LANE STOCKTON
<br /> 12919 MONACO COURT (i STOCKTON J Unit 2
<br /> N. CROWN AVE STOCKTON j
<br /> N. PERSHING AVE '��)�� STOCKTON t Unit 3
<br /> N. PERSHING AVE � P STOCKTON i G/C✓,u- / Z �� i3N. PERSHING AVE C�USTOCKTON oUnitN. PERSHING AVE 35v STOCKTON r ❑Untt 5
<br /> 9.
<br /> 10. pmt e
<br /> Specific Date Range of Information Requested: From to
<br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES
<br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ®SOLID WASTE FAC UTYNEHICLE
<br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING AHATEWNT ®WASiE TIRE
<br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY
<br /> ®ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ©WASTEWATER TREATMENT PLANT
<br /> ®HAZARDOUS WASTEMAZARDOUS MATERIALS ❑MoTELIHOTEL ❑PUMPER TRUCKNARDICHEMICAL TOILETS
<br /> ®TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES
<br /> [].TATrWBODY PIERCING ®COMPLAINTIRESPOtSE RECORDS ❑OTHER(PLEASE SPECIFY)
<br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 6:00 AM-S:OOPM(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 eve ilable 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 a licant
<br /> Future file reviews by the same applicant may require a$125 deposit prior to review.
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<br /> - il4/12•
<br /> EHO 48*8
<br /> Received Time Dec. 9: 2013 11 : OOAM No, 4709 --
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