Laserfiche WebLink
RECEIVED <br />SAN.JOAQUIN Environmental Health Department <br />!_- �yG t'.�? PUBLIC RECORDS RELEASE APPLICATION <br />�i:; COUNTY-- '\ <br />Cir�pirlE'5S g;'ews he _. EWpW/41. <br />PEIN111MEW. vE'S 10' EHD LOG NUMBER: <br />APPLICANT: Abby Racco BUSINESS/AGENCY: Live Oak Geo Enyironmental <br />ADDRESS: 407 W. Oak St. CITY/STATE/ZIP: Lodi, CA 95240 <br />PHONE (1): 369-0375 PHONE (2): 365-3222 FAX OR E-MAIL: abby@logelodi.com <br />Please allow 10 business days from date of application submittal for the records to be available. <br />Staff will contact you to arrange an appointment date and time to review the requested records. <br />SIGNATURE OF APPLICANT 494 Raeea DATE May 15, 2018 <br />1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the type(s) of files from the <br />list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138, mail to the <br />address indicated below, or email to infoCcDsicehd.com. Applications received after 3:00 pm will be processed the next <br />business day. <br />2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <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 $152 deposit prior to review. z <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) <br />Electronic Information: ❑ List ❑ Map — Description: <br />Specific Date Range of Information Requested: From to <br />ENVIRONMENTAL <br />FILE ADDRESS <br />�C4 L2 IT <br />HEALTH DEPARTMENT <br />FILES <br />(Specific addresses <br />p <br />only, address ranges will not <br />y 9 <br />accepted) <br />be acce ted <br />EHD USE ONLY <br />® Underground Tank (UST) <br />Street # <br />Street Name <br />City <br />' <br />19401 <br />S. Dahlin Ave. <br />Escalon <br />n0 06 1 ri0 CONSUMER <br />Cleanup Site (LOP) <br />® Other Cleanup Site (Non -LOP) <br />® Hazardous Waste <br />❑ DAIRY <br />® Tiered Permitted Facility <br />2 <br />19050 <br />S. Brennan <br />Escalon <br />® Aboveground Tank <br />�A`7( <br />�u bt3 110 CU <br />❑ PWS <br />IN UST (Monitoring / Removal <br />Hazardous Materials <br />3 <br />18986 <br />S. Brennan <br />Escalon <br />' <br />�y— <br />5 <br />IN Spill / Release Response <br />4 <br />24532 <br />E. Clough <br />Escalon <br />i <br />WATER QUALITY <br />® Solid Waste Facility/ Vehicle <br />❑ Food Facility <br />^^ <br />I-) <br />tio cp <br />SITE MITIGATION <br />0 Pool / Spa <br />Dairy <br />5 <br />Land Use Application Sites <br />6 <br />E] HOUSING <br />Septic Pumper Truck / <br />Yard / Chemical Toilets <br />❑ Wastewater Treatment Plant <br />CUPA <br />❑ Housing Abatement <br />7 <br />AST I HM I HW <br />Motel/Hotel <br />CUPA <br />Chicken Ranch / Dog Kennel <br />Medical Waste Facility <br />6 <br />UST <br />❑ Tattoo/Body Piercing <br />ouo WASTE <br />F] Waste Tire <br />g <br />[� Complaint <br />❑ ACCOUNTING <br />Other (Please Specify): <br />10 <br />***BOXED AREA - EHD USE ONLY*** <br />-25 <br />❑ Records provided by Staff -PPR Complete. Staff Name: EHD 48-06 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />