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<br /> T4157472038
<br /> MHO 2013-12-09
<br /> ed MecO4re�
<br /> EHD LOG NUMBER
<br /> IaATE )1lWti�d SAN .JOAQUIN COUNTY
<br /> Hl�H�'di.N�WN��11�N3
<br /> ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 339 1868 East Hazelton Avenue, Stockton, CA 95205-6232
<br /> Telephone: (209)468-3420 Fax: (209)464-0438 Web: www.sjgov.org/ehd
<br /> C1 J
<br /> O�CIPIJ'BLIC RECORDS RELEASE APPLICATION
<br /> APPLICANT: EDWARD MACDANIEL BUSINESSIAGENCY: NOVA CONSULTING
<br /> ADDRESS: . 3210 GOUGH ST #105 CITYISTATElZIP: SAN FRANCISCO, CA 94123
<br /> PHONE(1):
<br /> 415--240-3205 PHONE(2): FACSIMILE: 415-070-2038
<br /> TENTATIVE*APPOINTMENT DATE: Time: _
<br /> (Please allow 10 business day5,fwp date of application submittal-`Tentative only-must be confirmed)
<br /> ❑CHECK BOX TO EXPEDITE R EST 125 FEE(CASH OR CHECK Y) REQUEST PROCESSED IN3 2 BUSINESS DAYS
<br /> SIGNATURE OF APPLICANT DATE 11/2013
<br /> Electronic Information: ❑List❑Map—Description:
<br /> FILE ADDRESS EHD USE ON770:Un][t
<br /> street N Street Name City
<br /> 16.
<br /> 1,1.76 ROSEMARIE LANE � STOCKTON
<br /> 110 0-12 9 9 MONACO COURT i �� STOC KTON
<br /> 4131 N. CROWN AVE �� STOCKTON4444 N. PERSHING AVE )': U� STOCKTON 4501. N. PERSHING AVE ��� STOCKTON 4445 N. PERSHING AVE /11.. STOCKTON
<br /> STOCKTON [7Unit<
<br /> 7. 4555 N. PERSHING AVE 3 STOCKTON '
<br /> 8. Unit 5
<br /> y ,v_y re_rZT
<br /> to. ©-lits
<br /> Specific Date Range of Information Requested: From to
<br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES
<br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) [3MEDICAL
<br /> TIRE
<br /> MEDICAL WASTE FACILITY ® WASTE FACp ITYNEHICLI
<br /> ®OTHER CLEANuP&TE(NON-LOP) ❑Housm ABATEMENT ®WAST
<br /> ®UNDERGROUND TANK(MONITORINGIREMOYAL) C3 FOOD FACILITY DAIRY
<br /> UNDERGROUND
<br /> ®ABOVEGROUND TANK ❑CHICKEN RANCH!DOG KENNEL ®WASTEWATER TREATMENT PLANT
<br /> ®HAZARDOUS WASTEMA ARDOUS MATERIALS ❑MOTEI.IHOTEL ❑PUMPER TRUOMARDICHEMICAL TOILETS
<br /> ®TIERED PERMITTED FACILITY []POOLISPA ❑LAND USE APPLICATION SITES
<br /> ❑-TATIM EIODY PIERCING ®COMPLAINT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY)
<br /> WELL AND SEPTIC PERMIT RECORDS ARE AVASLABLE FOR REviEw. MONDAY-FRIDAY 8:00 AM-6:00PM(EXCLUDING HOLIDAYS
<br /> 1 Ustup to ten aftesses in the space above. Select the types)of files from the list above by checking the appropriate
<br /> box(es). At least one file type MUST be selected. Eax to(2091-46- 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 approxinwtely 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. Afile that is actively being worked on by EHD staff maynot be immediately avaliable 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 thea I'tcann
<br /> b the same applicant ma require a$1 deposit prior Future file reviews y PP Y review
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<br /> 93112
<br /> EKO 48-08 .
<br /> Received Time Dec. 9, 2013 11 :00AM No. 4709 ---
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