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RECEIVEO <br /> SAN , J O A Q U I NMAY 16 Z�l� Health Department <br /> ---COUNTY PUB <br /> IEnvironmental <br /> �':• n G r'r h(r FTF 17 499Ari.N,-TAL MALr-' li (f <br /> • <br /> PEEw. AITPSEwtEs 00 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 t4ddgy ;Zaeez 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. <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 FILE ADDRESS _4--r� <br /> HEALTH DEPARTMENT ( p y 9 accepted) EHD USE ONLY <br /> FILES (Specific addresses only,address ranges will not be acce ted <br /> ®Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) no bg f10 N-W ClI ❑CONSUMER <br /> ®Other Cleanup Site(Non-LOP) 1 19401 S. Dahlin Ave. Escalon <br /> ®Hazardous Waste ❑DAIRY <br /> ®Tiered Permitted Facility 2 19050 S. Brennan Escalon <br /> ®Aboveground Tank 110 t'e no CU <br /> UST (Monitoring/Removal ❑PWS <br /> Hazardous Materials 3 18986 S. Brennan Escalon <br /> FN Spill/Release Response N-j-k't-An ACT. <br /> Cj:>jSR. <br /> � <br /> WATER QUALITY <br /> ®Solid Waste Facility/Vehicle 4 24532 E. Clough Escalon A �y�, <br /> F1 Food Facility ,i���+,H AST I tl 1 d co <br /> ❑Pool I Spa SITE MITIGATION <br /> F]Dairy 5 <br /> F]Land Use Application Sites <br /> HouslNc <br /> F]Septic Pumper Truck/ ❑ <br /> 6 <br /> Yard/Chemical Toilets <br /> Wastewater Treatment Plant 21CUPA <br /> Housing Abatement 7 AST/HM/HW <br /> ❑Motel/Hotel <br /> Chicken Ranch/Dog Kennel CUPA <br /> F1 Medical Waste Facility 8 UST <br /> Tattoo/Body Piercing OLIO WASTE <br /> Waste Tire 9 <br /> Complaint <br /> Other(Please Specify): ❑ACCOUNTING <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> '�-l(.-- (43 . Lr+h;dev .,�+r►-,s � � t't�'r,t' �� Ddu :.� �.. �-tle . ► (�' _. <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 />